MCN’s customizable template, Claims Submission, is taken from our Home Care Corporate Compliance Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Claims Submission:

	POLICY: The organization does not knowingly or unwittingly submit claims: For visits: Not made; To beneficiaries who are not homebound; To beneficiaries not requiring a qualifying service; Not authorized by a physician; Not medically necessary, excessive or otherwise inappropriate even if ordered by a physician. For equipment and/or supplies: That were never provided or were not provided as claimed. That were not medically reasonable and necessary given the patient's documented medical condition. All claims submitted to Medicare, Medicaid and other third party payors are supported...
Second excerpt:
	...Cost of items and services accurately reflect the organization's usual and customary charges. The organization shall not submit duplicate claims for the same item. Claims for equipment and/or supplies shall reflect the true market value of the items. The supplier will not submit claims or receive payment for drugs used in conjunction with DMEPOS if the supplier is not licensed to dispense the drugs. The organization does not knowingly provide/dispense to the patient and/or bill...