The American Association of Professional Coders has announced its Certified Professional Compliance Officer credential, developed as compliance programs become mandatory to enroll in federal healthcare programs due to reform.
According to the AAPC news release, CPCO professionals will have knowledge of:
• OIG Compliance Guidance for Individual and Small Group Physician Practices, Clinical Laboratories and Third Party Billing Companies
• Compliance program effectiveness
• Key health care fraud and abuse laws including the False Claims Act, Stark Laws and Anti-kickback Statute
• PPACA and how it will affect medical practices
• Laws and regulations related to HIPAA, EMTALA and CLIA
• Handling investigations, including self-disclosure protocols
• Requirements under Corporate Integrity Agreements and Certificate of Compliance Agreements
• Current investigative activities
• Various risk areas including items such as gifts/gratuities, conflicts of interest, use of Advance Beneficiary Notices, teaching physicians guidelines and incident to services
Read the AAPC release on the CPCO credential.
According to the AAPC news release, CPCO professionals will have knowledge of:
• OIG Compliance Guidance for Individual and Small Group Physician Practices, Clinical Laboratories and Third Party Billing Companies
• Compliance program effectiveness
• Key health care fraud and abuse laws including the False Claims Act, Stark Laws and Anti-kickback Statute
• PPACA and how it will affect medical practices
• Laws and regulations related to HIPAA, EMTALA and CLIA
• Handling investigations, including self-disclosure protocols
• Requirements under Corporate Integrity Agreements and Certificate of Compliance Agreements
• Current investigative activities
• Various risk areas including items such as gifts/gratuities, conflicts of interest, use of Advance Beneficiary Notices, teaching physicians guidelines and incident to services
Read the AAPC release on the CPCO credential.
Read more about coding:
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- 5 Changes to CPT Codes in 2011
- ASC Coding Guidance: Modifier -73 and -74 — Know the Difference