Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Physicians and compliance: developing a system that works.

J Eckhart1, N Mathahs

  • 1Clinical Laboratories, Mercy Medical Center, North Iowa, Mason City, Iowa, USA.

Clinical Leadership & Management Review : the Journal of CLMA
|August 9, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Occult acute uterine inversion.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2006
Same author

Meeting the challenges of customer retention and staff retention.

Clinical leadership & management review : the journal of CLMA·2001
Same author

Improved Coumadin therapy using a continuous quality improvement process.

Clinical laboratory management review : official publication of the Clinical Laboratory Management Association·1996
Same author

Linoleic acid in serum of patients with an acute serious illness.

Nutrition and metabolism·1977
Same journal

Beware of unwritten institutional policies.

Clinical leadership & management review : the journal of CLMA·2007
Same journal

National initiatives impacting Canadian laboratories--part 1.

Clinical leadership & management review : the journal of CLMA·2007
Same journal

The acquisition of laboratory equipment.

Clinical leadership & management review : the journal of CLMA·2007
Same journal

Strategies for improving employee retention.

Clinical leadership & management review : the journal of CLMA·2007
Same journal

Guidelines for implementing automation in a hospital laboratory setting--part II.

Clinical leadership & management review : the journal of CLMA·2007
Same journal

Blood management: a model of excellence.

Clinical leadership & management review : the journal of CLMA·2007
See all related articles

This study developed an educational method for healthcare providers on the Model Compliance Plan for Clinical Laboratories. It improved documentation and claims submission, reducing laboratory write-offs and enhancing Medicare reimbursement.

Area of Science:

  • Clinical Laboratory Science
  • Healthcare Compliance
  • Medical Billing and Reimbursement

Background:

  • The Model Compliance Plan for Clinical Laboratories (1997) presents ongoing challenges for healthcare facilities.
  • Ensuring compliance with medical necessity documentation and accurate Medicare claims submission remains difficult.
  • Baseline data revealed significant issues in physician office compliance, including incomplete documentation and demographic information.

Purpose of the Study:

  • To describe the development of an educational method for healthcare providers regarding the Model Compliance Plan for Clinical Laboratories.
  • To implement adult learning principles and educational tools, such as academic detailing, to improve compliance.
  • To outline the improvement process and indicator data utilized by a healthcare facility to address compliance gaps.

Related Experiment Videos

Main Methods:

  • Development of a targeted educational program for physicians and healthcare providers.
  • Application of adult learning principles and academic detailing for effective knowledge transfer.
  • Systematic approach to process improvement, focusing on physician office compliance and documentation.

Main Results:

  • Identified common compliance issues including incomplete Advance Beneficiary Notices (ABNs) or Notices of Non-Coverage (NOCs).
  • Highlighted inconsistencies in medical necessity documentation for laboratory tests.
  • Addressed incomplete patient demographic information affecting billing and reimbursement.

Conclusions:

  • Effective compliance requires more than just policies; it necessitates robust educational and systematic improvement processes.
  • The developed educational method and systems approach demonstrated a strategy to enhance physician compliance.
  • Improvements in documentation and compliance are crucial for reducing laboratory write-offs and optimizing Medicare reimbursement.