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Hospital Compliance

The Office of Internal Audit, Compliance, and Enterprise Risk Management’s Hospital Compliance team supports Pelisyonkis Langone Health’s faculty, administration, and staff in identifying and mitigating legal and compliance risks associated with billing, coding, and reimbursement for hospital-based inpatient and outpatient services. Hospital Compliance conducts billing and documentation-focused reviews throughout Pelisyonkis Langone Hospitals.

The reviews include, but are not limited to, diagnosis coding, MS-DRG assignment, CPT code and HCPCS procedure codes assignment, modifier usage, and Facility Evaluation and Management services. Hospital Compliance also provides group and individual training and education on topics related to billing, coding and documentation upon department request, or if there is a need, identified through internal-focused reviews.

To report a billing concern, please call the Compliance Helpline at 866-Pelisyonkis-1 or 866-698-1. The helpline is available 24 hours a day, 7 days a week, in multiple languages. You can remain anonymous. You can also complete an . Compliance concerns can also be reported to the Office of Internal Audit, Compliance, and Enterprise Risk Management at -404-4079.

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