Compliance Services

Click Here to see a short video with 5 tips on Medicaid Compliance


CompuClaim offers proactive complaince services designed to assist your organization's compliance efforts with state and federal regulations. We provide leadership, guidance, and dynamic tools for school districts to develop and maintain a compliant Medicaid  billing program. Our compliance services are driven by two primary objectives:

  • Provide a customized compliance package that adheres to state and federal regulations

  • Develop a Medicaid billing infrastructure that preserves institutional compliance knowledge

In today's volatile climate of health care regulatory enforcement, the best practice is for every healthcare provider regardless of size, that bill for Medicaid reimbursement, to enact compliance programs to protect the organization and its officials from allegations of false claims and/or improper practices.

Did you know?

Under the new Healthcare Reform Law (HRL), providers and suppliers are subject to new compliance and ethics plan requirements. Entities must establish compliance programs ensuring they are aware of anti-fraud requirements, good governance practices and have incorporated these into their operations. Compliance programs will soon be mandatory for Medicaid providers as a condition of enrollment. If poor compliance practices are not addressed and corrected, the costs can add up quickly and have a serious impact on your business. Non-compliance issues can lead to sanctions and or disqualification of program participation.

  • Does your school district have a compliance program plan?

  • Do you know what to do if  the Office of Inspector General (OIG) officials visits your office?

  • Do you know how to prepare for a Medicaid audit?

CompuClaim can help you be prepared. We offer a full menu of services that can be tailored to your school district individual needs.

We can assist you with the establishment and implementation of a compliance program if you don’t have one, or we can help you improve the one you have.  We provide sample policies and procedures which can be tailored to meet your needs, and can assist you with developing training programs and materials specific to your state’s requirements.  Some of our services include:

  • Free Evaluation of your Compliance Program and Recommendations Proposal

  • A Complete Customized Medicaid Program Procedure Manual outlining each and every process including sample policy statements

  • Review Tools with accompanying Checklists

  • Assembly of State Guidance Documents

  • Development of Training Programs and Materials Specific to your Organization

  • Creation of Procedure Flowcharts for Monthly Process Flows

  • Creation of a Video Training Module, Accessible by your Providers at their Convenience

  • Audit with Report and Corrective Action Steps 

Click on the link below to request more information about our compliance services


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