HPMP Compliance Workbook

The AFMC Hospital Payment Monitoring Program (HPMP) is pleased to make available to you the HPMP Compliance Workbook, which was compiled by TMF Health Quality Institute (TMF), under contract with the Centers for Medicare & Medicaid Services (CMS) as the HPMP Quality Improvement Organization Support Center (QIOSC), to aid your hospital in reducing Medicare payment errors.  This exhaustively researched workbook provides practical guidance, suggestions and helpful tools for hospitals seeking to develop, update, or strengthen their compliance program structures and processes, particularly for areas monitored by CMS.  Along with numerous references and tools, this workbook addresses topics such as:

• Coding for Compliance;
• Utilization Management and Compliance;
• Documentation and Compliance;
• Compliance Monitoring and Auditing Strategies; and
• Evaluating a Compliance Program.

As the Medicare Quality Improvement Organization (QIO) for Arkansas, AFMC strongly encourages hospital administrators, compliance officers, chief financial officers, case managers, health information management directors, and utilization review managers to download the workbook and incorporate it into their hospital day-to-day activities.