Regulatory Compliance Support policies and procedures
If you have questions about regulatory compliance, you can review HCA Healthcare's documentation on issues related to coding, billing, lab testing and more.
Regulatory Compliance Support (APS) policies and procedures
| Policy | Reference Number |
|---|---|
| Certification and Recertification for Post Acute Services | REGS.APS.001 |
| Outpatient Rehabilitation Therapy Services | REGS.APS.002 |
Regulatory Compliance Support (BILL) policies and procedures
| Policy | Reference Number |
|---|---|
| Outpatient Self-Administered Drugs | REGS.BILL.003 |
| Stat, Call Back, Stand-by and Handling Charges | REGS.BILL.006 |
| Billing for Investigational Devices | REGS.BILL.007 |
Regulatory Compliance Support (COD) policies and procedures
| Policy | Reference Number |
|---|---|
| Coding Documentation for Inpatient Services | REGS.COD.001 |
| Coding Documentation for Outpatient Services | REGS.COD.002 |
| Coding References and Tools | REGS.COD.003 |
| Coding Help Line | REGS.COD.004 |
| Coding Orientation and Training | REGS.COD.005 |
| Coding Continuing Education Requirements | REGS.COD.006 |
| Reimbursement of Professional Exam Fee to Obtain Credentials | REGS.COD.007 |
| Prohibition of Contingency-Based Coding Arrangements | REGS.COD.009 |
| Coding Documentation for Rehabilitation Facilities/Units | REGS.COD.013 |
| External Coding Vendors for Coding Services, Reviews and Related Education | REGS.COD.017 |
| Inpatient and Outpatient Coding Compliance Monitoring and Auditing | REGS.COD.018 |
Regulatory Compliance Support (DOC) policies and procedures
| Policy | Reference Number |
|---|---|
| Clinical Documentation Improvement (CDI) - Implementation Requirements | REGS.DOC.001 |
| Query Documentation for Clinical Documentation Improvement (CDI) & Coding - Compliance Requirements | REGS.DOC.002 |
| CDI Orientation and Training | REGS.DOC.003 |
| CDI Continuing Education Requirements | REGS.DOC.004 |
Regulatory Compliance Support (GEN) policies and procedures
| Policy | Reference Number |
|---|---|
| Advance Beneficiary Notice of Non-coverage Outpatient Services | REGS.GEN.003 |
| Billing - Orders for Hospital Outpatient Tests and Services | REGS.GEN.004 |
| Billing & Billing Related Continuing Education Requirement | REGS.GEN.007 |
| Hospital Evaluation and Management Services | REGS.GEN.008 |
| Outpatient Services and Medicare Three Day Window | REGS.GEN.009 |
| Medicare - Hospital Issued Notice of Non-Coverage | REGS.GEN.010 |
| Medicare - National and Local Coverage Determinations | REGS.GEN.011 |
| Refunds for Medically Unnecessary Services for Federal Payers | REGS.GEN.012 |
| Responding to Governmental Requests for Claims Reviews or Surveys | REGS.GEN.013 |
| Medicare Order Form for Patient Status | REGS.GEN.014 |
| Correction of Errors Related to Federal and State Healthcare Program FFS Reimbursement | REGS.GEN.015 |
Regulatory Compliance Support (HHA) policies and procedures
Regulatory Compliance Support (LAB) policies and procedures
| Policy | Reference Number |
|---|---|
| Billing - Outpatient Specimen Collection | REGS.LAB.006 |
| Billing - Custom Profiles | REGS.LAB.007 |
| Referred Laboratory Testing | REGS.LAB.009 |
| Laboratory - Reflex Tests | REGS.LAB.010 |
| Laboratory - Client Billing Practices | REGS.LAB.023 |
| Maintenance of Company Standard Laboratory Chargemaster | REGS.LAB.025 |
| Hematology Procedures, Urinalysis Procedures, and Organ or Disease-Oriented Panels | REGS.LAB.026 |
Regulatory Compliance Support (OSG) policies and procedures
Regulatory Compliance Support (PROF) policies and procedure
| Policy | Reference Number |
|---|---|
| Provider Coding/Billing Continuing Education Requirements for Professional Services | REGS.PROF.006 |