What is compliance?
Practices are regularly audited by third party payors for compliance with their requirements for appropriate documentation and coding. Lack of compliance can result in heavy fines and charges of fraud. Therefore it is important for all practitioners to have knowledge of reimbursement and to particularly understand payors’ requirements for reimbursement. Read provider manuals, call the payors directly and ask lots of questions.
1. If you are recovering from an illness or desire weight loss, then 80%-100% of your food choices should be highly beneficial. 2. If you are a healthy individual over the age of 55, 80% of foods should be beneficial. 3. If you are under 55 and healthy, 70% or more of your food choices should beneficial. 4. The remainder of your food choices should be neutral. Avoids should not be eaten.
For every employee at UTSA, compliance is knowing and doing the right thing. However, at the institutional level, compliance is simply good management. As a university, we operate in a very complex regulatory environment and we face tremendous risk on a daily basis. Compliance is knowing what our risks are and ensuring that our resources are appropriately allocated to provide reasonable assurance that our most critical risks are adequately mitigated. This proactive approach to compliance will help UTSA to achieve its goals and objectives.
