Billing Compliance Education Requirements
The University policy on physician billing compliance states that employees (faculty physicians, fellows, and staff) must participate annually in billing compliance education if they are involved in patient care services, and/or if they are involved directly or indirectly in the professional reimbursement process. The educational requirement applies to all employees who are involved in any of the activities listed below. Please note that this list of duties is not all-inclusive and is a guideline only.
- patient care services
- documentation of patient care services
- medical coding
- claim preparation
- charge capture
- charge entry
- transcription of patient encounters and procedures
- fee ticket review
- co-pay collection
- clinical laboratory services
- professional billing analysis
- physician practice management
New employees are required to complete the OPBC – Billing Compliance 101 Initial Training course within 8 weeks of hire. This course is available at http://LearnatWork.wustl.edu, and takes approximately 40 minutes. It provides an overview of the Policy on Compliance with Teaching Physician Billing Regulations, a brief introduction to fraud and abuse and medical coding guidelines, plus it covers how to prevent, detect, and report non-compliant activity. For those who do not have access to a computer, a print copy of Billing Compliance 101 may be requested by calling the Office of Physician Billing Compliance (OPBC) at 314-747-7661.
Compliance education is required annually throughout employment for faculty and staff who participate in any of the activities identified above. Employees who do not fulfill the continuing education requirement by the end of each fiscal year on June 30th are considered non-compliant and are subject to disciplinary action. Continuing Education Options
Annual participation in a billing compliance educational program is mandatory. Failure to comply with this requirement may result in suspension of billing and/or patient care privileges.