HCPro.com: Laboratory Compliance Insider

Each month with Laboratory Compliance Insider you get more of our exclusive working tools: model guidelines, policies, forms, etc., that you can use to comply with OIG and CMS, reduce claim denials, and get paid in full and on time.

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August 2008 (Volume 5, Issue 8)	view entire issue

A proactive approach to self-disclosure protocols
Not being in compliance with federal healthcare laws and regulations can be costly, even for laboratories. The federal government first administers large fines and penalties that may also result in costly corporate integrity agreements (CIA) and/or certification of compliance agreements (CCA). Ultimately, CMS can exclude or debar an organization from working with federal healthcare programs. Not only do these results affect the financial viability of an organization, but they also affect the reputation of the organization within the community it serves.

Secrets to success in processing medical necessity paperwork
A good medical necessity and ABN process starts with common sense and education. Laboratory team members need to know what an ABN is and when a patient's signature is required. The majority of support staff and technical teams are not aware of the importance of this document and that it remains a key component in the revenue cycle.

Other recently-published articles from Laboratory Compliance Insider:

Quality control, compliance in the genomics era

OIG addresses lab concerns in its 2009 Work Plan

Signature requirements cause labs headaches

Debate over licensing for technologists continues

Keep the chargemaster from being a taskmaster

Joint Commission offers options to combat disruptive acts

Incident-to rules rescinded, laboratories need not worry

Genetic testing raises questions about laboratory tests

CoP rule hardens blood safety requirements

Laboratories celebrate landmark victory

Secrets to success in processing medical necessity paperwork

A proactive approach to self-disclosure protocols

Five tips to ensure medical necessity compliance

Court orders CMS to stop flawed bidding process

What you need to know about CAP inspection time frames

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