Tip: Use monitoring tool to facilitate by-department reviews
Healthcare Auditing Weekly, March 3, 2009
The monitoring tool is perhaps the most important document in your compliance-monitoring toolkit. When properly drafted, it allows an average employee with minimal training and no support from the compliance office to conduct a miniature compliance audit.
Straightforward questions, well-defined rules, and standardized responses help to avoid interpreter error and facilitate post-audit analysis, particularly when relying on electronic tools. The following are sample monitoring-tool questions:
- Is the physician order for services present?
- Does the physician order contain all required elements?
- What is the reason the physician provided for ordering a test?
- Do the billed charges match physician order?
- Does the medical record documentation support the charges billed?
This tip was adapted from Guide to Monitoring: Tools and Strategies to Enlist Department Managers in Hospital Compliance. For more information on this book and HCpro’s other compliance and auditing products, visit the HCMarketplace.
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Mammography Regulation and Reimbursement Report
Comply with FDA regulations and interpret the Mammography Quality Standards Act with Mammography Regulation Report.
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Laboratory Compliance Insider
Each month with Laboratory Compliance Insider you get more of our exclusive working tools: model guidelines, policies...
-
Critical Thinking in the Emergency Department:
This book is a new, easy-to-read resource that explains the principles behind critical thinking and how to encourage nurses...
Most Popular
- Articles
-
- Q/A: Billing telemetry daily monitoring
- Credentialing monthly: What is the role of the credentials committee in addressing unprofessional conduct?
- 2010 ICD-9 code updates now available online
- Master modifiers to ensure accurate reimbursement
- H1N1 hits Maine facility
- Radiologist indicted for fraudulently signing reports
- Don’t be scared into silence: Affiliation letter safeguards allow you to disclose more
- National Quality Forum creates standardized set of data for electronic health records
- New report reveals $47 billion in Medicare fraud
- Understand the H1N1 Flu and how to code it
- E-mailed
-
- Credentialing monthly: What is the role of the credentials committee in addressing unprofessional conduct?
- Q/A: Billing telemetry daily monitoring
- Radiologist indicted for fraudulently signing reports
- H1N1 hits Maine facility
- New report reveals $47 billion in Medicare fraud
- Revised MS.1.20 'huge improvement', out for comment again
- Briefings on Outpatient Rehab Reimbursement and Regulations, December 2009
- Hand hygiene rates improved through variety of reinforcement styles
- Press Ganey report: Patient satisfaction increasing across the country
- Residency Program Alert, December 2009
- Searched