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Mandatory Compliance Programs: Essential Insights for Physician Practices

Published Date
Ronda Tews, CPC, CHC, CCS-P, Senior Director, Billing And Coding Compliance, ModMed | Stacy Ziegler, PA-C, Lead Product Manager, ModMed

PRESENTERS

Ronda Tews, CPC, CHC, CCS-P
Senior Director, Billing and Coding Compliance, ModMed

Stacy Ziegler, PA-C
Lead Product Manager, ModMed

This webinar was recorded on April 23, 2025.

Did you know that compliance programs for individual and small group physician practices transitioned from voluntary to mandatory with the requirement in the Patient Protection and Affordable Care Act (ACA)? Any healthcare providers enrolled in Medicare and Medicaid programs since 2010 agreed to develop and execute a compliance program into their practice as a part of their enrollment agreement. This webinar will provide you with an overview of the Office of Inspector General’s (OIG) guidance for individual and small group practice compliance programs. Per the OIG, establishing and following a compliance program will help physicians avoid fraudulent activities and ensure that they are submitting true and accurate claims.

You will learn:

  • The mandatory compliance program requirements outlined in the ACA for small group practices
  • How to apply OIG guidance to develop and maintain an effective compliance program
  • Best practices to prevent fraudulent activities and ensure accurate claim submissions for Medicare and Medicaid reimbursement