Christensen/Roberts Solutions
offers extensive experience in the field of health care compliance. Our
expertise includes:
Compliance Basics
(online training)
An introductory course
covering the basics of health care compliance for all employees,
delivered online. Includes basic information about the client
institution's commitment to ethical standards and compliance,
employees' obligations regarding compliance, understanding fraud and
abuse, civil and criminal consequences of non-compliance, requirements
for reporting suspected non-compliance, background checks, gift
policies and more. It was designed to meet Federal requirements
regarding compliance training for all employees.
Compliance Basics includes
review questions, pre- and post-course testing and an Action Maze.
Approximately 94% of learners who fail the pre-test are able to pass
the post-test after taking the course. All content is easily accessible
and documented.
Billing Basics (online
training)
A course for managers and
staff directly involved in billing that addresses the specifics of
Federal billing compliance. This course covers key elements in the
billing process including documentation, medical necessity, and valid
orders, as well as major billing risk areas including upcoding, double
billing, unbundling, duplicate billing, billing for services not
rendered, ABNs, and rules for teaching physicians.
Billing Basics is supported
by institution-specific examples designed to reinforce learners'
understanding of the material covered as well as review questions and a
post-course test.
Department-Specific
Training (PowerPoint presentation and design tools)
Templates, design
instructions, and an instructor's guide for training individual
departments in Federal billing compliance. Using a set of templates and
questionnaires, Compliance staff work with individual departments to
identify billing risks and concerns specific to the department. They
are then guided through the creation of institution-specific examples
that are used to generate a PowerPoint presentation for customized
department staff training. This approach has been used successfully in
departments as diverse as ambulatory care, anesthesia, and clinical
labs.
Surgical
Pathology Coding Manual
The Surgical Pathology Coding
Manual is a 100-page document that is designed to help pathologists (or
pathology fellows) select appropriate CPT® (Current Procedural
Terminology) codes for surgical pathology services. Its approach is
unique in the field in that it is designed to allow the physician to
look up an organ or tissue, the anatomical system it is part of, the
surgical procedure that was performed, or the pathological procedure
that is being conducted and quickly review CPT codes related to each.
Organized into three parts,
the main section consists of an alphabetical listing of organs,
tissues, surgical procedures, anatomical systems, and pathology
services with related CPT codes and specialized coding notes. The
second section presents 35 concise general coding guidelines for
surgical pathology that summarize the most important coding rules and
definitions. The third section contains sixteen in-depth analyses of
coding situations that are especially relevant to the institution for
which it was prepared. These examples demonstrate the application of
the coding guidelines in real-life situations and offer an overview of
the process of selecting appropriate codes.
C/R Solutions Health Care
Compliance Team includes:
Clare Cherney, MD, is board
certified in internal medicine and infectious diseases and after 13
years of clinical practice, turned her efforts to health care
compliance in 1999. She has served previously as Hospital
Epidemiologist and Chair of Infection Control for the Hospital of St.
Raphael. While an Associate Clinical Instructor at the Yale Medical
School, Dr. Cherney also served as Chief of Infection Control for Yale
University Health Services. She combines her knowledge of hospital
processes with her extensive compliance expertise to bring a unique
perspective to her health care compliance consulting.
Lisa Freeman has over 20
years' experience in writing, editing, and producing content for the
web and in print. A former academic book publisher, she was director of
the University of Minnesota Press from 1990-97 and was involved in
early efforts to define how to apply intellectual property law to the
Internet. She founded a successful Internet database business and
earned her dot-com merit badge as senior vice president for content
management at AntiquesAmerica.com. Since 2000, she has worked as a
consultant in marketing and web-based based communications.
HIPAA
compliance