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claims.</div></div></div><div class="field field-name-field-pg-slider-link field-type-link-field field-label-hidden"><div class="field-items"><div class="field-item even"><a href="https://ohcp.ucsf.edu/report-concern">Report a Concern</a></div></div></div></div></div> </div> </div> </div></div></div></div> </div> </div> </div> </div> <div id="main-wrapper"> <div id="main" class="clearfix"> <div id="content" class="column"> <div class="inside"> <a id="main-content"></a> <div class="tabs"></div> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <div id="node-596" class="node node-page slider-secondary clearfix" about="/revenue-cycle-compliance" typeof="sioc:Item foaf:Document"> <span property="dc:title" content="Revenue Cycle Compliance " class="rdf-meta element-hidden"></span><span property="sioc:num_replies" content="0" datatype="xsd:integer" class="rdf-meta element-hidden"></span> <div class="content"> <div class="field field-name-field-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>The UCSF Office of Healthcare Compliance and Privacy聽established聽and maintains聽a Revenue Cycle Compliance Program to ensure that the UCSF聽workforce has the training and resources needed to perform their duties, report聽issues and concerns, and refer questions to our office聽when additional guidance is needed.聽</p> <ul> </ul> <h2>Program Scope</h2> <p>The Revenue Cycle Compliance Program (RCC) promotes compliance with applicable laws, regulations, and policies pertaining to billing and reimbursement of professional, hospital, and clinical research activities. Our program is designed to reduce the potential for noncompliance with government and other third party payors by fostering the elements of an effective compliance program across the UCSF healthcare enterprise.</p> <h5>Major Focus Areas</h5> <hr /> <div class="wysiwyg_twocols layout--50-50"> <div class="wysiwyg_twocols--first bg--interactive-dark-blue"> <h4>Professional Services</h4> <p>The Professional Services team focuses on compliance with documentation, coding, and billing requirements for professional fee services provided by UCSF Faculty, Advanced Practice Providers, and Affiliates. 聽</p> </div> <div class="wysiwyg_twocols--second bg--interactive-light-navy bg--interactive-dark-grey"> <h4>Government Audits</h4> <p>The Government Audit team聽facilitates the processing and response to billing and reimbursement-related audits and investigations by Federal and State payors and regulatory agencies.聽</p> </div> </div> <div class="wysiwyg_twocols layout--50-50"> <div class="wysiwyg_twocols--first bg--interactive-light-navy"> <h4>Hospital Services</h4> <p>The Hospital Services team focuses on compliance with documentation, coding, and billing requirements for hospital services provided by clinical staff at UCSF Medical Center, UCSF Benioff Children's Hospitals and Langley Porter Psychiatric Hospital and Clinics.</p> </div> <div class="wysiwyg_twocols--second bg--interactive-blue"> <h4>Clinical Research Billing聽</h4> <p>The Clinical Research Billing (CRB)聽team focuses on compliance with documentation and billing requirements for聽clinical trials conducted at UCSF. The team works with school and campus departments聽to promote compliance聽with聽federal and state laws, regulations, and policies.</p> </div> </div> <h2>Examples of Our Activities</h2> <ul> <li>Auditing and monitoring compliance with coding, documentation, billing rules and regulations</li> <li>Monitoring the accuracy of diagnosis and procedural coding</li> <li>Assessment of the聽medical necessity of services provided</li> <li>Identification of聽deficiencies in documentation</li> <li>Education focused on current regulations and audit findings</li> <li>Promoting accurate聽reimbursement to the organization</li> </ul> </div></div></div> </div> </div> </div> </div> </div> </div> </div> <div id="sidebar" class="column"> <div class="sidebar"> <div class="section"> <div class="region region-sidebar"> <div id="block-block-16" class="block block-block"> <h3>Patient Resources</h3> <div class="content"> <p><a href="https://ohcp.ucsf.edu/contact-us">Ask a Question</a></p> <p><a href="http://manuals.ucsfmedicalcenter.org/AdminManual/IndividualPolicies/CodeofConductPrinciplesofCompliance.pdf" target="_blank">UCSF Health Code of Conduct聽</a></p> <p><a href="https://hims.ucsfmedicalcenter.org/HIPAA_Forms/Notice_Of_Privacy_Practice.pdf" target="_blank">Notice of Privacy Practices</a></p> <p><a href="https://www.ucsfhealth.org/billing-and-insurance/medical-records" target="_blank">Medical Record Request</a></p> <p>聽</p> </div> </div> <div id="block-block-46" class="block block-block"> <div class="content"> <p><a class="btn--small btn--more--reverse btn--full-width" href="https://mycompliance.ucsf.edu/topic/self-coding">Provider Self-Coding (MyAccess Required)</a></p> </div> </div> <div id="block-block-6" class="block block-block"> <h3>Report a Concern</h3> <div class="content"> <p><a class="btn--small btn--more--reverse btn--full-width" href="https://www.universityofcalifornia.edu/hotline">UC Whistleblower Hotline</a></p> </div> </div> </div> </div> </div> </div> </div></div> <div id="footer"> <div class="section"> <div class="region region-footer"> <div id="block-block-36" class="block block-block"> <div class="content"> <div class="wysiwyg_threecols layout--33-33-33"> <div class="wysiwyg_threecols--first bg--undefined bg--transparent"> <p style="text-align: right;"><a href="https://www.ucsfhealth.org/about/" target="_blank">Our Organization</a></p> </div> <div class="wysiwyg_threecols--second bg--undefined bg--transparent"> <p style="text-align: center;"><a href="https://ohcp.ucsf.edu/about-us">About Us</a></p> </div> <div class="wysiwyg_threecols--third bg--undefined bg--transparent"> <p><a href="https://ohcp.ucsf.edu/contact-us">Contact Us</a></p> </div> </div> <p>聽</p> </div> </div> </div> <div class="footer-bottom"> <nav aria-label="Footer Navigation" class="footer--navigation"> <ul> <li><a href="https://www.ucsf.edu/accessibility-resources">Accessibility</a></li> <li><a href="https://www.ucsf.edu/website-privacy-policy">Privacy Policy</a></li> <li><a href="https://websites.ucsf.edu/website-terms-use">Terms of Use </a></li> <li><a href="https://websites.ucsf.edu/azlist">A-Z Website List</a></li> </ul> </nav> <div class="footer--copyright"> <p>© 2025 The Regents of the University of California</p> </div> </div> </div> </div> </div> </div> <script type="text/javascript"> /*<![CDATA[*/ (function() { var sz = document.createElement('script'); sz.type = 'text/javascript'; sz.async = true; sz.src = '//siteimproveanalytics.com/js/siteanalyze_8343.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(sz, s); })(); /*]]>*/ </script> </body> </html>