AdvantEdge Healthcare Solutions Identifies 7 Core Strategies for an Effective Compliance Program

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AdvantEdge services reduce risks and improve quality in an ever-changing healthcare reimbursement and regulatory environment

AdvantEdge’s compliance services help make regulatory and HIPAA compliance a reality for physician practices by arming doctors and their staff with the latest information and educational resources.

AdvantEdge Healthcare Solutions (“AdvantEdge”), one of the nation’s leading providers of medical billing, practice management, and coding services for specialty physicians, hospitals, behavioral health facilities and surgery centers has embraced seven core strategies that enable healthcare providers to ensure compliance with regulations and avoid serious risks and penalties. AdvantEdge has developed a specific suite of services that make it much easier for clients to implement each strategy.

AdvantEdge recently shared with its clients how to cope with these requirements and minimize risks through an effective Compliance Program. While many physician groups and hospitals may have a written Compliance Plan, by itself the Plan is insufficient. The seven core strategies and actions that are required include:

  • Compliance officer
  • Written plan (policies and procedures)
  • Training and education
  • Lines of communication
  • Auditing and monitoring
  • Exception/incident procedures
  • Response and corrective action

Taken together, these strategies proactively respond to regulations and provide improved communications, quality and potentially lower costs. Implementing each of these steps can be difficult which is where the new AdvantEdge compliance services can help. (Please download this fact sheet for more information.)

In today’s healthcare environment, physicians and hospitals are exposed to countless regulatory and legal regulations. These requirements grow every day with the ongoing implementation of the Affordable Care Act (“ACA”). This includes Medicaid expansion in many states, emerging Accountable Care Organizations (“ACO”) type payment systems and quality programs such as Physician Quality Reporting System (“PQRS”) and the Value-Based Modifier Program (“VBMP”).

Oftentimes, the most effective place to start is training and education. AdvantEdge offers a web-based Compliance Training Program, which is accessible anywhere, anytime; fulfills annual training obligations; and reduces a variety of compliance risks by increasing awareness. AdvantEdge’s training is subscription-based so there is no software to purchase or system to maintain. The educational curriculum is always up-to-date, eliminating homegrown compliance educational program development challenges. Upon completion of training, each attendee receives a training certificate confirming completion of annual training requirements. AdvantEdge also offers Compliance Hotline Services, Compliance Incident Reporting, Vendor Compliance Validation Services and Compliance Plan Development services.

AdvantEdge’s compliance services help make regulatory and HIPAA compliance a reality for physician practices by arming doctors and their staff with the latest information and educational resources. Physicians can contact AdvantEdge at any time to subscribe to these high-impact, low cost services.

About AdvantEdge Healthcare Solutions

AdvantEdge is a technology-enabled provider of healthcare business management solutions and business intelligence tools that substantially improve decision-making, maximize financial performance, streamline operations and eliminate compliance risks for healthcare providers. AdvantEdge continues to gain meaningful scale through organic growth and strategic acquisitions, having completed seven since 2007. AdvantEdge is recognized as one of the top 10 billing, coding, and practice management companies in the U.S.; has more than 675 employees in eight regional offices in the U.S. and one office in Bangalore, India; and collects over $1 billion annually for its physician and hospital clients using its own proven technology. AdvantEdge clients include hospital-based physicians, hospitals, ambulatory surgery centers, behavioral health agencies and large office-based groups. AdvantEdge is backed by major investors Safeguard Scientifics (NYSE:SFE) and Founders Equity. For more information about AdvantEdge, please visit our website at http://www.ahsrcm.com.

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Bill Gilbert
@DoctorBilling
since: 07/2009
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