Compliance & Auditing

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Compliance & Auditing

Leverage TCI’s Compliance & Auditing Expertise to Safeguard Your Practice

Determine outliers before payers find them, protect against fraudulent claims and billing activity, and nail down reimbursement deficiencies and opportunities that protect your bottom line with TCI solutions.

Stay current on critical information:

2019 Code Sets — CPT®, HCPCS, ICD-10-CM, ICD-10-PCS

HIPAA, Anti-Kickback, Stark, OSHA, FCA, MACs, RACs and more

Cybersecurity Best Practices

CMS & OIG Hotspots

Quarterly CCI Edits

Updates to Medicare Physician Fee Payment Schedule

2019’s revised Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

Clinical Documentation Improvement

Save your practice from breaches and penalties

Avoid audit risk and compliance penalties with TCI’s quick code lookups, in-depth articles written by national compliance and coding experts, and a whole lot more. You’ll also stay up to speed on the latest policy changes with access to our online library of timely articles.

  • HIPAA Handbook 2019 – Our experts at TCI guide you step-by-step through the dos and don’ts of compliance. With our toolkits, you’ll master risk assessments, tighten up your electronic health record (EHR) for privacy and security, update your business associate agreements, reassess your risk analysis plan, gear up for audits, and much more.
  • Physician Practice Compliance Sourcebook – This handy guidebook will fill the gaps in your compliance knowledge and equip you to train your staff. You'll get clear explanations and practical advice on topics like: how to use the OIG Work Plan, CBR reports, and other free materials to spot and fix high-risk areas in your practice; cybersecurity explained; Stark made simple—plus practical ideas for how to make today's health care deals work with this antiquated and impractical rule.
  • MACRA Quality Measures Guide 2019 – This all-new, completely updated MACRA guide will eliminate your MACRA stress and confusion, and enable you to hit the ground running. We lay out processes and systems step by step, show you how to align your existing methods with current guidelines, and arm you with strategies to avoid payment cuts and penalties.
  • Medicare Compliance and Reimbursement Insider 2018 – This resource rolls Medicare updates and compliance advice into one affordable and indispensable guide, laying out field-tested best practices on MACRA, MIPS, Medicare Physician Fee Schedule, HIPAA audits, 60-day overpayment rule, cybersecurity… and so much more. Jam-packed with best-in-class advice and high-impact tips, the Medicare Compliance and Reimbursement Insider 2019 will equip you to avoid underpayments, lock down compliance, avert ransomware attacks, stay out of the OIG’s crosshairs, and safeguard your bottom line.
  • Part B Coder – Stay on top of Part B changes. This online code lookup tool equips you with accurate access to CPT®, HCPCS, ICD-10-CM, and ICD-9-CM codes with descriptive lay terms; quarterly data for MPFS and CCI to give you correct, DOS-based results; claim scrubber that checks CCI, MUEs, LCD ICD-10 code lists, and more. Coupled with our collection of compliance tools, you’ll always have the correct information at your fingertips.
  • Master Auditing Basics and Evaluation and Management Auditing Demystified – These two resource will equip you to identify and correct coding problems before insurance or government payers challenge them. Get in-depth guidance for effective review of medical documentation and learn how to conduct internal and external reviews of coding accuracy, policies, and procedures to ensure you’re running an efficient and liability-free practice.