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Training Resources

COMPLIANCE SYSTEM PROTOCOL

Patient comes to us on their own free will. Nobody pays for referrals of new patients. No kickbacks. No referral fees.Only legitimate, timely-filed claims are accepted.Medical narratives contain only the truth. Nothing is made up to improve the chances of acceptance. Patient is evaluated by a team and ultimately by the MD.No kickbacks are given or received for any needed referrals.Needed therapy is done 1-on-1 by licensed practitioners PT, PTA, DC. No 1-on-1 treatment by unlicensed staff.CA17’s are only done based on medical necessity. This is not a profit driver.Patients are only taken off work and given limited duty based on medical necessity. Every attempt is always made for return-to-work.FCE’s determine work capacity and work readiness. Nobody is off work without good reason.All treatment is based strictly on medical necessity.Patients sign off in all treatment notes to confirm accuracy.Licensed providers sign off on all treatment notes after patients review.Billing always matches documentation and documentation always matches exactly the treatments provided.No services are ever billed that were not delivered.We keep open compliance records of audits, complaints, trainings, etc.We cooperate fully with all federal enquirers into our compliant treatment to patients.We use compliance lawyers to develop and maintain each offices ongoing compliance program.

PLANNING

CHECKLIST

QUESTIONNAIRE

ENFORCEMENT

BILLING AUDIT

ANSWER KEY

POSTER

PROTOCOL