TTUHSC School of Medicine
HSC Home SOM Home Billing Compliance

Institutional Compliance Plan


Table of Policies


Administration

1.1 Compliance Committee
1.2 Institutional Compliance Officer
1.3 Policy Development and Implementation
1.4 Queries Directed to CMS
1.5 Institutional Compliance Plan Revisions
1.6 Corrective Actions
1.7 Disciplinary Actions by Regional Deans
1.8 Recognition and Awards

Billing

2.1 Medicaid Reimbursement
2.2 Reimbursement Practices
2.3 Primary Care Exception Status
2.4 Inappropriate Billing and/or Refunds

Documentation

3.1 Compliance Record Management
3.2 One Standard Documentation
3.3 Documentation Forms
3.4 Teaching Physician Documentation and Presence
3.5 Use of Scribes

Education

4.1 Education Programs Responsibilities
4.2 General Initial Compliance Training

Risk Management

5.1 Exclusion Screening
5.2 Helpline
5.3 Investigating Compliance Issues
5.4 Code of Conduct for Federal Healthcare Programs
5.5 Compliance Office and Legal Counsel Programs
5.6 Compliance Issue Resolution

Auditing and Reporting

6.1 Auditing and Monitoring
6.2 Auditor Selection and Training
6.3 Provider Feedback

Glossary

7.1 Compliance-Related Terms

UPDATED on 12/27/02