Coding and Compliance Risk Assessment (CCRA)

Modern medical practices understand the patient data they have is one of their most valuable assets. At the same time, the Protected Health Information (PHI) they hold also puts them at risk of breach of compliance with HIPAA regulations overseeing the safeguarding of their patients’ medical and identity information. Practices not only need to have HIPAA Compliance policies, procedures, and training up to date, but they must also have defined protocols which can be deployed in case of a breach. Failure to have an up-to-date, ongoing HIPAA Compliance program can put a practice at risk of costly fines and reputational damage.

How we can Help physician

Through the CCRA process, each physician will receive a risk assessment based on 4 different parameters:

Comparison of billing data with regional averages by specialty

Coding compliance chart review

A cross-check of provider billing items listed on current OIG Work Plan

Evaluation of compliance plan effectiveness