Developing and Updating a “Compliant” Lab Compliance Plan (Medicare and Medicaid Focus)

Why Should You Attend:

With the enactment of PPACA in 2010, Compliance Plans are now mandatory for all providers who bill Medicare and Medicaid for their services. Each provider covered by PPACA, must develop and implement a Compliance Program “appropriate to its characteristics”. This legislation is being enforced by the Office of Inspector General, OIG, within Health and Human Services, or HHS, Department.

This session provides an easy to follow outline for developing and updating the required HHS Laboratory Compliance Plan. Since the OIG has a zero tolerance policy for fraud and abuse, it is imperative that Laboratory Management and Administrators responsible for the Laboratory are knowledgeable about, and actively working toward maintaining compliance with the elements of the OIG Lab Model.

Areas Covered in the Seminar:

• PPACA Legislation of 2010.
• Required Elements of the Compliance Plan.
• Definition of Medical Necessity.
• Disciplinary and corrective action related to breach of the Compliance Plan.
• Examples of documents, reviews and audits to maintain compliance.
• Ongoing review of changes to regulations.
• Investigate ways to update the Compliance Plan.
• Websites available for information.