News — audit
Physician practices and hospitals routinely audit for compliance, risk management, revenue cycle and quality of care issues. They don’t necessarily like it, but they’ve settled into the routine of doing it to minimize their losses in the ever-increasing fight for dollars between providers and payors. Sadly, few dental practices audit patient records. A lot can be learned from auditing including identification of incomplete or inadequate documentation and/or paperwork, missed billing opportunities, issues that can result in recoupments (even criminal prosecution), and a host of other issues. A dentist’s work is only as good as his records. It is said...
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- Tags: audit, Code of Conduct, Dental Board, dental compliance, Dental License, record audit, Recordkeeping
I put out a lot of TOP NOTCH compliance content from this blog to the podcast, "Talking with the ToothCop." I know a lot of you benefit from this content, but some of you might not know what we do....cause let's face it, writing blogs and yakking on a podcast, don't pay the bills. So here's a short synopsis of what we do for our clients and how we keep the lights on here at DCS. 1. Who do we work with at Dental Compliance Specialists? We work with dentists young and old. We work with small solo-dentist practices, dental group...
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- Tags: audit, Code of Conduct, Compliance, Compliance Training, controlled substances, Corporate Compliance Plan, corporate integrity agreement, CPR, DEA, Dental Board, dental compliance, Dental License, standard of care
I work with Private Equity firms as a partner in their due diligence processes. For my parts, office review and records audits, it is about identifying proficiencies and deficiencies (or what I call ‘opportunities’).
Is the office compliant with OSHA, infection control, DEA regulations, radiation regulations, sedation safety/medical emergency preparedness, HIPAA, advertising/marketing, dental board rules/Dental Practice Act? What safety mechanisms are in place to ensure patient and employee safety? Does the practice code/bill properly? Using correct codes? Have adequate supporting clinical notes to support what is billed? Any overbilling or fraud issues? If so, are they isolated or systemic?