The science of compliance. CMS is enlisting hospitals for pilot program to help determine why some billing-compliance programs work while others don't.
If you've ever wondered if compliance programs really work, you're not alone; the CMS is trying to come up with an answer. A pilot program will study up to a dozen programs to assess their effectiveness and gather best-practices data. The plan is already winning praise. "The burning question is which components of compliance programs are the most effective," says Roy Snell, left, of the Health Care Compliance Association.
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D019985:Benchmarking; D014487:Centers for Medicare and Medicaid Services, U.S.; D005161:Facility Regulation and Control; D005377:Financial Management, Hospital / Q000379:methods*; D005607:Fraud / Q000517:prevention & control*; D019983:Guideline Adherence; D006302:Health Services Research; D007344:Insurance Claim Reporting; D010350:Patient Credit and Collection; D010865:Pilot Projects; D014481:United States