Practice Management Alternatives announces Compliance Hotline
Bellevue, WA – Practice Management Alternatives, a national regulatory compliance, audit and fraud investigation firm announced today that it will offer monitoring and supervision of employee hotlines and e-mail boxes for healthcare entities.
“There are many competent organizations that provide and monitor employee hotlines,” says Dr. Donald Jones, CFE, CHC, PMA’s VP of Audit and Regulatory Services. “What our company offers that sets it apart in the industry is in addition to the usual monitoring and reporting, PMA provides web-based training, a CD copy of the training to be used by organizations for retraining or at orientation, and individual consultation on every contact, all by compliance and investigative professionals. It’s all in the single price.”
Healthcare compliance is a relatively new industry, born out of the government’s crackdown on Medicare and Medicaid fraud. A key component of an effective compliance plan, says the US Health and Human Services Office of the Inspector General, is open lines of communication for employees to report suspected fraud or abuse in their own organizations. A toll-free hotline that allows anonymous reporting is one example given by the OIG as an open line of communication.
“We think the importance of these employee hotline reports demand that the companies who monitor them both do so with certified professionals, and also provide recommendations for what the entity does next,” added Dr. Jones. “The United States government constantly updates the laws and regulations surrounding federal health care programs to ensure proper conduct by providers and eliminate fraud. Only professionals who both understand the new regulations and know how to implement programs can help healthcare entities ensure compliance.”
For more information please click on the "Hotline" block, above, or e-mail us at Contact@pmallp.org |
Dr. Donald Jones Earns Special Designations
Bellevue, WA – Two distinguished organizations announced this month that former Floridian Dr. Donald Jones, CFE, CHC, of Practice Management Alternatives, LLC, successfully met their strict certification criteria:
Healthcare compliance is a relatively new industry, born out of the government’s crackdown on Medicare and Medicaid fraud. Compliance professionals come from a variety of backgrounds including medical practice, law and government.
CCB President Debbie Troklus, noted, “The United States government constantly updates the laws and regulations surrounding (federal health care programs) to ensure proper conduct by providers and eliminate fraud. These new regulations demand professionals who both understand the new regulations and how to implement programs to ensure compliance within their companies.”
The ACFE’s Board of Regents awards its CFE designation only to select professionals who meet a stringent set of criteria, including character, experience and education. Dr. Jones has successfully met these criteria and now joins the ranks of business and government professionals worldwide who have also earned the CFE certification.
These certifications combine to give Dr. Jones a unique perspective and skill set in order to continue his work in healthcare audit and regulatory affairs.
About the ACFE – The ACFE is the world’s premier provider of training and education for fraud detection and deterrence. Identified as “the premier financial sleuthing organization by The Wall Street Journal, the ACFE has captured national and international media attention. For more information about the ACFE visit www.ACFE.com.
About the CCB and HCCA – Founded by the Health Care Compliance Association in 1998, the Compliance Certification Board exists to develop criteria for the determination of competence in the practice of healthcare compliance at a variety of levels and to recognize individuals meeting these criteria. |
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“Healthcare Management” Book Announced
Bellevue, WA – Dr. Donald Jones, CFE, CHC, of Practice Management Alternatives, LLC, announced today the publishing of Practice Management’s third book in 5 years.
“Healthcare Management by the Numbers: Management 101, the CMS 411 and Compliance 911”, published by the National Council for Community Behavioral Health, was available for the first time at the National Council’s annual training conference in Boston. It is sold exclusively via the National Council’s website at http://www.thenationalcouncil.org.
This is the third recent collaboration of these regulatory compliance professionals, Dr. Donald Jones, Derek Jansen and Roya Rezai, CHC. In 2003, the three authored “Documentation, Coding and Billing of Mental Health Services”, also published by the National Council, and in 2006 “Clinical Documentation and Operational Issues in Community Healthcare” was published.
The current work recognizes that many managers in the healthcare profession began their careers as clinicians. Often they were promoted because of the quality, effectiveness, and efficiency with which they provided care to people. Suddenly they are thrust into the world of employee management, budgets, Medicaid, and regulatory compliance. Building Management in Healthcare by the Numbers provides a wonderful overview of the information new managers and even experienced managers need to be effective in their roles in an organization.
Divided into three key sections, it focuses on the basic information needed. Management 101 presents an overview of and specific information in being a manager including principles of management, personnel supervision, and budgeting. CMS 411 provides critical information about the federal funds which pay for the services in healthcare. Compliance 911 addresses managers’ roles in ensuring accountability in an era of increased regulation and enforcement.
Healthcare compliance is a relatively new industry, born out of the government’s crackdown on Medicare and Medicaid fraud. Compliance professionals come from a variety of backgrounds including medical practice, law and government.
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