Medac adheres to a rigorous Corporate Compliance Program spelled out in a very detailed Corporate Compliance Plan. This document serves as an internal safeguard, ensuring that each function of the billing and collection process complies with all federal and state regulations, as well as private payor policies and guidelines. The Plan mandates that revisions in payor policy be constantly monitored, updated and loaded into the rules engine of the billing platform. Such updates are simultaneously relayed to applicable staff, including all members of our Compliance Department and Coding Department. At Medac, compliance is a primary and continuing educational process.
To ensure quality and maximize accuracy in the claims submission process, our Compliance Department reviews the work of data entry, coding, payment and claims follow-up personnel on a daily basis, flagging errors, correcting mistakes and using such opportunities to further educate our billing staff. This QA function is vital to our success and one of the differentiating factors for our firm. Unlike most of our competitors, we’ve invested significant resources to ensure that claims go out clean the first time.
Medac's Compliance Department performs extensive reviews of its accounts, with clients being audited at least once per quarter, on a rotating basis. The audit results are then distributed to your Account Executive, Account Supervisor and the Corporate Compliance Officer. Modifications must be made within three days of receipt of the findings.
The Director of Compliance assigned to your account regularly receives feedback from the billing, coding and compliance staff as to issues that may require client education and attention. In such instances, the Director of Compliance will communicate with our clients to ensure such issues are appropriately addressed. In addition to this periodic communication, Medac provides all of its clients regular compliance updates by way of “email alerts/blasts,” as well as semi-annual newsletters containing coding, billing, practice management and compliance-related articles. Our compliance staff is always available when you have an issue or need an answer.
In conclusion, no anesthesia-specific billing firm can match Medac’s commitment to, and expertise in, the compliance arena. No other firm has devoted more resources to this critical function. As a result, our clients can be confident that their claims are being submitted with an extraordinary degree of accuracy.