Our Services

The Compliance Program Solution

If your organization receives federal healthcare funds and/or bills Medicare or Medicaid, having an EMS specific compliance program is critical.

Medicare is targeting emergency services across the country for improper claims and without a compliance program in place, you are at greater risk for massive fines and could be held personally responsible.

That’s why our team of nationally recognized industry experts developed the Compliance Program Solution; a comprehensive, web-based program designed specifically for Fire & EMS. Our solution delivers all the tools you need to implement a compliance program that understands the specific needs of the emergency services industry and meets all federal requirements.

At EMS Compliance, we know your time is limited and valuable; that’s why our policies and procedures are easy to access, implement and automatically updated in accordance with changing laws.

The Compliance Program Solution from EMS Compliance provides the essential tools to seamlessly implement an OIG-compliant program that achieves the two most critical objectives of compliance:

1 Proactive Protection: Our primary goal is to keep you in compliance so you never become the target of an investigation. To accomplish this, we’ve assembled a team of nationally recognized compliance and legal experts to develop and maintain your compliance program. Our policies and procedures are built on common-sense, industry-proven strategies designed to help you avoid issues before they arise.

2 Demonstrating Good Faith: If you ever become the subject of a state or federal investigation (which can happen despite best efforts), having an EMS Compliance program in place helps demonstrate to investigators that you’ve made a strong, good-faith effort toward compliance. By working with some of the nation’s top EMS compliance experts, you show a commitment to best practices. Investigators recognize that mistakes can happen, but having a comprehensive compliance program in place can significantly influence their assessment of your organization and any potential penalties.

How It Works

Upon subscribing to the Compliance Program Solution from EMS Compliance you gain instant access to your personal EMS Compliance web-based portal which includes:

  • Unlimited access to the “Compliance Officer Hotline” where our compliance experts are ready to answer compliance questions for your leadership.
  • Training modules for your employees in a variety of formats.
  • Unlimited access to the “Confidential Compliance Hotline” that allows your employees to leave anonymous concerns about compliance issues. We triage these calls to determine if true compliance issues exists. If so, we guide you through the necessary steps for an internal compliance investigation.
  • Easily customizable policies and procedures required for a successful compliance program.
  • Downloadable marketing materials to post for employees to meet the critical element of having a well-publicized compliance program.
  • A regularly updated “Resource Portal” of the most recent laws and regulations and relevant guidance on anything related to healthcare and EMS compliance.
  • Multiple free webinars per year designed specifically for your leadership and board members.

Cost

At EMS Compliance, we believe compliance should be attainable for all EMS agencies, and not just the ones large enough to justify the expense of a full-time compliance officer. That is why we offer the Compliance Program Solution for less than $300/month, a fee covered by the reimbursement from a single ambulance transport.

The EMS Compliance Difference

In evaluating the effectiveness of a compliance program, the United States Department of Justice instructs its federal prosecutors to “probe specifically whether a compliance program is a “paper program” or one implemented, resourced, reviewed, and revised, as appropriate, in an effective manner.” A compliance program is more than just written policies and procedures; it must be active and ongoing. That’s why, unlike other providers, we won’t hand you a “one-size-fits-all” paper policy in a 3 ring binder. The Compliance Program Solution is a dynamic, web-based solution, designed specifically for EMS agencies by industry experts and updated constantly to meet the needs of today’s ever-changing laws and the needs of our clients.

 

1 in 5 ambulance agencies have questionable billing practices according to the HHS OIG.

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