Q: What is the Provider Compliance Score Card?

A: The Provider Compliance Score Card is used with your compliance calls with our Provider Engagement Specialist.

Q: What am I scored on?

A: You are scored on the following:

  • Trip Ticket Components
  • Disaster Recovery & Contingency Plan
  • Fraud, Waste, & Abuse
  • Cultural Competency
  • HIPPA Training
  • Abuse Neglect Exploitation
  • Privacy Security Plan
  • Compliance Manual
  • OIG Validation
  • Billing Invoice Components

Q: What is the scoring system?

A: All providers will be scored on a Pass/Fail system. Providers will have 30 days to make any necessary changes, where they will be scored again.