Star Compliance Services are experts in Medicaid and Medicare. We will ensure that you and your staff have a strong compliance program.
Medicare and Medicaid—the federal health benefits programs for low-income families, people 65 and over and young people with disabilities—pays for 35 percent of all national health spending—more than $1 trillion. Health care practitioners that participate in these programs are required to comply with a number of federal regulations.
The Law and What it Covers
Participation in these programs is governed by the Social Security Act—a vast body of federal law that covers health and other benefits for the poor, aged and disabled—as well as state Medicaid regulations. These codes regulate such things as:
- Who you can provide services to
- Which services you can provide to them
- Who is authorized to provide services
- How you code and bill for those services
- How much reimbursement you may receive
- Recovery of “overpayments”
Violations of these sections can bring investigation, criminal and civil fines, penalties and even incarceration. It can also result in exclusion from participation in federal health care programs.
Ignorance of the Law is No Defense
If you aren’t well versed in the intricacies of the Medicaid and Medicare laws, you are operating at risk. You can be accused of fraud—even if it wasn’t intentional—and find yourself in trouble you won’t be able to easily or cheaply resolve.
The Simplest Solution
Star Compliance Services has a full range of services to help you ensure you’re fully compliant with Medicare and Medicaid regulations. Whether you’re currently under audit or are just implementing routine precautions, we can help.
Safeguard for your practice and your livelihood. Reach out to us today.