Documentation Essentials Part 10: Compliance, QA & Audits


Intermediate Level: Compliance plays a very important role in helping to preserve and protect Medicare dollars. This course will provide the key elements a compliance program needs in order to help monitor documentation and coding. In addition, information will be presented on how to implement a good quality assurance program for documentation, including the basics of the audit and medical review programs utilized by Medicare.

Course Goal and Learning Objectives

The student will be able to identify the components of a good compliance and quality assurance process for therapy documentation and be familiar with the different audits Medicare uses.

Upon completion of this course, the learner will be able to:

    • Name the seven (7) essential components to a compliance program
    • Identify three (3) strategies for the implementation of a good quality assurance program in order to monitor documentations at a place of practice
    • Name two (2) of the audit procedures utilized by Medicare

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