Course curriculum

    1. Overview

    2. NEMT Compliance and Financial Policy Index

    3. Audit Checklist: Required Policies and Evidence of Implementation

    1. Policy Statement

    1. Policies and Procedures Generally

    2. Annual Review of Key Documents

    3. Document / Record Retention

    4. Conflicts of Interest

    5. Non-Discrimination Policy

    6. Section 1557 Notice of Nondiscrimination

    7. Exclusion, Debarment, and Sanctions List Screening

    8. Regulatory Compliance

    9. FWA Prevention and Detection

    10. FWA Risk Assessment and Work Plan

    11. Prohibition on Rider / Patient Inducement

    12. Prohibition on Kickbacks

    13. Compliance with False Claims Acts

    14. Misuse of Healthcare Program Benefits

    15. Reporting Compliance Violations

    16. Non-Retaliation and Whistleblower Protection

    17. Corrective Action for Compliance Violations

    18. Compliance as an Element of Performance Evaluation

    19. Employee Compliance Education, Training, and Oversight Policy

    20. Subcontractor Education, Training, and Oversight

    21. Compliance Auditing and Monitoring Plan

    22. HIPAA Security Incidents and PHI Breaches

    23. Billing and Claims Submission Policy

    24. Overpayment Identification and Refund Policy

    25. Financial Controls and Segregation of Duties Policy

    26. Accounts Receivable and Write-Off Policy

    27. Financial Recordkeeping and Documentation Retention Policy

    28. Broker / Payer Reconciliation Policy

    29. Cost Allocation Policy

    30. Independent Audit Policy

    1. Grievances

    2. Complaints

    1. Criminal Background Check

    2. Drug Screen Policy

About this course

  • $250.00
  • 38 lessons
  • 0 hours of video content

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