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Policies & Documents

University of Florida College of Medicine – Jacksonville Departmental Compliance Plans

Use of Modifier 24 .pdf (Adobe PDF Document)
Use of Modifier 25 .pdf (Adobe PDF Document)
Use of Modifier 57 .pdf (Adobe PDF Document)
Use of Modifier 58 .pdf (Adobe PDF Document)
Use of Modifier 78 .pdf (Adobe PDF Document)
Use of Modifier 79 .pdf (Adobe PDF Document)
Application of the -52 Modifier to Surgical Procedures with Delayed Primary Closure .pdf (Adobe PDF Document)
Physicians Furnishing Less Than the Full Global Package - Use of Modifiers 54 and 55 .pdf (Adobe PDF Document)
1995 Evaluation and Management Physical Exam Clarification .pdf (Adobe PDF Document)
Crediting a Prior Review of Systems and/or Past, Family and/or Social History .pdf (Adobe PDF Document)
Advance Beneficiary Notice – Ambulatory Policy .pdf (Adobe PDF Document) (06/2015)
Crediting Unobtainable History .pdf (Adobe PDF Document) (07/2011)
Billing for Unenrolled Providers .pdf (Adobe PDF Document) (12/2013)
Physician Co-Signatures on NPP Notes .pdf (Adobe PDF Document) (02/2015)
Federal and State False Claims Laws .pdf (Adobe PDF Document) (07/2014)
Policy Against Fraudulent or Other Dishonest Acts .pdf (Adobe PDF Document) (02/2002)
Billing Compliance and Corporate Responsibility Hotline .pdf (Adobe PDF Document) (07/2017)
Medicare Teaching Physician Policy and the GC and GE Modifiers .pdf (Adobe PDF Document)
Sanction and Exclusion Checks .pdf (Adobe PDF Document)
Billing Medicare as the Secondary Payor for Consultation Services .pdf (Adobe PDF Document)
Selecting a Consultation Replacement Code when Medicare is the Primary Payor .pdf (Adobe PDF Document)
Skilled Nursing Facility or Nursing Facility Location when Medicare is the Primary Payor .pdf (Adobe PDF Document)

Medicare and TriCare Incident-to Billing in Physician Based Settings .pdf (Adobe PDF Document) (08/2018)
This policy sets forth a procedure to be used to determine whether or not a service rendered in a physician-based setting (office - place of service code 11) can be billed to Medicare incident to a physician. Medicare guidance on incident to billing, as it relates to this policy, is contained within the Medicare Benefit Policy Manual (100-02), Chapter 15, Section 60.

UF College of Medicine Billing Compliance Plan .pdf (Adobe PDF Document) (05/2008)
The University of Florida Billing Compliance Plan, originally adopted in June 1996, establishes an overall framework for billing compliance activities at the College of Medicine.

UF Teaching Physician Billing Policy .pdf (Adobe PDF Document) (08/2011-rev 10.05.11)
As part of the overall Billing Compliance Plan, this policy statement, originally adopted in June 1996, describes the standards that the University expects all faculty and employees to follow in connection with the Medicare teaching physician billing rules.

Remedial and Disciplinary Action Memo .pdf (Adobe PDF Document) (01/2017)
The University has internal remedial and disciplinary mechanisms that apply to instances of billing non-compliance and provide administrators with the flexibility to impose appropriate remedies and sanctions when compliance problems occur with faculty or staff. This memorandum provides examples of potential billing compliance violations and probable consequences that exist under current University rules.

Code of Conduct .pdf (Adobe PDF Document) (07/2017)
All employees are required to conform to the highest ethical standards and to meet or exceed all legal obligations in the performance of their job duties. In this regard, the Code of Conduct has been developed to ensure our work is performed in an ethical manner and to remind us of our commitment to act responsibly and legally.

Billing Compliance Investigation Guidelines .pdf (Adobe PDF Document) (06/2018)
The Office of Compliance has prepared guidelines that will be followed when it assists in the review and investigation of allegations of billing non-compliance.

Signature Stamps, Password Sharing, Authentication of Electronic Reports and Scanned Signatures .pdf (Adobe PDF Document)

Mission and Goals .pdf (Adobe PDF Document)
This document outlines the mission, values and goals for the operations of the Office of Compliance on the Jacksonville campus.

Compliance Review Action Plans .pdf (Adobe PDF Document) (03/2016)

E/M Table of Risk and Parenteral Controlled Substances .pdf (Adobe PDF Document)

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