If you have any questions or need assistance with the compliance forms, please contact the Compliance Office. If you would like to report a compliance incident or concern, please click here.
COMPLIANCE PROGRAM GUIDANCE
- 1.01 Annual Compliance Program Plan
- 1.02 Antitrust Compliance Policy
- 1.03 Compliance Investigation and Resolution Process
- 1.04 Compliance Risk Assessment
- 1.05 Compliance with Self-Identified Overpayments
- 1.06 Compliance with False Claims Act
- 1.07 Department Compliance Report Requirements
- 1.08 Non-Intimidation and Non-Retaliation Policy
- 1.09 Department Compliance Report Requirements
AUDITING & MONITORING
- 2.01 Clinical Compliance Auditing and Monitoring
- 2.02 Clinical Compliance Audit Findings: Error Type Definitions and Scoring Methodology
- 2.03 Exclusion Screening of Federal and State Exclusion Lists
- 2.04 Government Inquiries: External Reviews & Second Level Appeals
BILLING, CODING & DOCUMENTATION
- 3.01 Annual Code Updates
- 3.02 Billing Limitations for Services with Advanced Physician Practitioners
- 3.03 Clinical Documentation: Co-Surgery Cases
- 3.04 Clinical Documentation: Assistant Surgery Cases
- 3.05 Clinical Documentation: Overlapping Surgery Cases
- 3.06 Clinical Documentation: Surgery/Procedure Note Core Documentation Requirements
- 3.07 Clinical Documentation: Timely Completion of Medical Record Entries
- 3.08 Clinical Fellows Billing Policy
- 3.09 Electronic Medical Record Guidance
- 3.10 Telehealth Documentation Requirement
- 3.11 Medicare Opt Out Regulations and Billing Requirements
- 3.12 Use of Chaperoine Policy
RESERCH BILLING COMPLIANCE
- 4.01 Research Billing Compliance Policy
- 4.02 Research Billing Compliance Handbook
- 4.03 Standards of Ethical Conduct
- 4.04 Coverage Analysis Guidance