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