MSM and MMA Billing Compliance Program
 
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COMPLIANCE POLICIES AND GUIDELINES

The Billing Compliance Program is intended to provide specific guidance and policies referencing basic requirements and specific issues that are considered to present substantial compliance risks and exposure for noncompliance. While not every situation involved in documentation, and billing for professional service is addressed by the policies documented in this plan, responsible parties are expected to approach their responsibilities with professional integrity and ethical behavior. Responsible parties are expected to inquire through the MMA Compliance Officer or designee for any questions regarding policies or practices that are not specifically addressed in this document.

All policies are applicable to all practice plan physicians (providers).

The following policies and guidelines will be addressed. Additional policies will be added as deemed necessary.

Policies  
15-05:02 Coding
15-05:04 Payment Standards: Waiver of Coinsurance and Deductibles
15-05:05 Medical Record Audit
15-05:06 Medical Record Review
15-05:07 Medicare Advance Beneficiary Notice
15-05:09 Consultations
15-05:10 Billing Medicare for NPP – “Incident To” services
15-05:12 Credit Balances
15-05:14 Encounter Form
15-05:17 Supervising Physicians in the Teaching Setting
15-05:18 Charity Care and Charges to Self-Pay Patients
Changes and/or additions to policies, as deemed appropriate, will be the responsibility of the MMA Compliance Officer under the direction of the Clinical Compliance Committee or the Dean of Morehouse School of Medicine. For any concerns or recommendations, please notify:


Sarita Cathcart, MN, NP-C, CHC
Office of Clinical Affairs
Morehouse School of Medicine
Piedmont Hall Suite 125
Atlanta, GA 30310
(404) 756-1353
Harold Jordan, JD
Office of General Counsel
Morehouse School of Medicine
720 Westview Drive, SW
Atlanta, GA 30310
(404) 752-1846
Morehouse School of Medicine all rights reserved
MOREHOUSE SCHOOL OF MEDICINE, 720 Westview Drive SW, Atlanta, Georgia 30310 - Phone: 404-752-1500
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