Top Ten Critical Success Factors for Achieving Minimum Risk Related to Faculty Physician Billing Compliance Identify key accountable physician and administrative leaders with direct reporting to the Chair or program leader. Communicate to all faculty physicians, administrators and billing personnel that billing compliance is an essential and integral part of every day management and operations. Provide routine, consistent and timely feedback to faculty physicians and administrators about trends in compliance performance on a periodic basis (at least monthly). Develop corrective action plans quickly (i.e. within 2 weeks) of identifying problems. Orient all new faculty physicians, clinical fellows and house staff to the University’s compliance policy and procedures. Require signed attestations before their appointments become effective and provide detailed billing compliance training within 60 days of appointment. Maintain detailed logs of compliance issues, with corrective actions documented, and copies provided to the Health Sciences Billing Compliance Office on at least a monthly basis as needed. Develop (together with Health Sciences Billing Compliance) a self-audit plan designed to review high risk programs and physicians on a priority basis and all other physicians on a routine basis incorporating random review of selected charges on both a pre-billing and retrospective basis. Working with Health Sciences Billing Compliance, department/unit develop and implements a self-audit plan. Develop a plan to achieve 100% pre-billing review of all inpatient activities by July 1999. Use billing compliance performance as a key element in evaluating administrative and billing staff for promotion, salary increases and bonuses. Return to Contents | Return to Billing Compliance