Compliance Support Services (CSS) CSS Functions:
Compliance Plan Development Assist the Practice in developing a plan for complying with applicable federal and state statutes, regulations, policies and procedures governing Medicare and Medicaid billing and reimbursement matters. Assiste the Practice in keeping their Compliance Plan current and updated.
Compliance Plan ImplementationAssist the Practice in developing processes, procedures and business practices to effectively implement the Plan and adhere to Government Regulations.
Compliance Hot-Line Voice MailEstablish and maintain a dedicated telephone line to receive calls. Implement a process to protect the anonymity of complainants.
Training ServicesProvide annual training sessions for the Practice on issues such as the fraud and abuse laws for claim development and submission process; a review of Medicare requirements relating to documentation, charge entry and coding; and the consequences for failing to comply with applicable laws. Conduct all new employee training on a monthly basis.
Auditing Yearly audit of Medicare and Medicaid claims regarding coding practices, claim submission and reimbursement.
Employee/Vendor ScreeningConduct a screening of employees and vendors by reviewing the DHHS/OIG Cumulative Sanction Report and a source for state or local background check.
ConsultingQuestion and Answer service for all compliance issues. Will provide documentation to support TSMG's response.
NewsletterPrepare and distribute a monthly newsletter to update and educate CSS Compliance Member Groups. Information in the newsletter will include a summary of newly released Compliance Information and Health Care Fraud Alerts issued by the Office of the Inspector General.
Joyce Kyle, CCP
Director of Compliance
(260) 422-7524
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