Physician Practice Compliance Services

"The creation of compliance program guidances is a major initiative of the OIG in its effort to engage the private health care community in preventing the submission of erroneous claims and in combating fraudulent conduct"

-Office of Inspector General

Compliance Consultation

Maintaining an effective and robust compliance program is critical to avoiding and mitigating health care fraud.

Fair Care Project offers low-cost compliance consultations to help you understand how to comply with fundamental healthcare rules and regulations to avoid receiving common violations. Our phone compliance consultation will help you understand common compliance challenges faced by new or operating physician practices. We will not issue violations or fines - we are here to help you know the rules.

Fair Care Project also offers the creation and maintenance of a compliance program for your small physician practice. According to The HIPAA Journal, rates of data breaches are increasing at overwhelming rates.

"Between 2009 and 2018 there have been 2,546 healthcare data breaches involving more than 500 records. Those breaches have resulted in the theft/exposure of 189,945,874 healthcare records. That equates to more than 59% of the population of the United States. Healthcare data breaches are now being reported at a rate of more than one per day."

Establishing and following a compliance program can facilitate physicians avoid deceitful activities and make sure that they're submitting true and correct claims. the subsequent seven elements give a solid basis upon that a MD follow will produce a voluntary compliance program:

  • Conduct internal observance and auditing.
  • Implement compliance and follow standards.
  • Designate a compliance officer or contact.
  • Conduct acceptable coaching and education.
  • Respond suitably to detected offenses and develop corrective action.
  • Develop open lines of communication with workers.
  • Enforce disciplinary standards through well-publicized pointers.

With the passage of the Patient Protection and Affordable Care Act of 2010, physicians that treat Medicare and Medicaid beneficiaries are needed to create and support a compliance program. That is where we step in. We offer sliding scale pricing to small physician practices in need of a compliance program built from scratch or from the remnants of a previous attempt.