Compliance and Regulatory Support

 There are several key areas of compliance that KAS RCM adhere to: 

 The Office of Inspector General (OIG) is a division of the U.S. Department of Health and Human Services that is responsible for promoting compliance with federal health care programs and regulations. Third-party medical billing companies, as business associates of healthcare providers, must comply with OIG requirements in order to avoid fraud, waste, and abuse. 

(Health Insurance Portability and Accountability Act): This federal law establishes privacy and security standards for healthcare information, including electronic medical records and other protected health information.

(Centers for Medicare and Medicaid Services) regulations: CMS sets rules and standards for healthcare providers who participate in Medicare and Medicaid programs, and medical billing companies must be familiar with these regulations in order to process claims correctly. 

(Protected Health Information) It is defined by the Health Insurance Portability and Accountability Act (HIPAA) as any information that relates to an individual's physical or mental health, treatment, or payment for healthcare services, and that is created, used, or disclosed by a healthcare provider, health plan, or healthcare clearinghouse. 

 Private insurance companies have their own specific rules and requirements for submitting claims, and medical billing companies must be familiar with these requirements in order to ensure that claims are processed correctly. 

 Some states have their own regulations and requirements for medical billing, and medical billing companies must be familiar with these rules in order to ensure compliance.