Nexus Billing Group operates in strict adherence to all applicable laws and regulations governing the healthcare industry, including but not limited to:

Health Insurance Portability and Accountability Act (HIPAA): We maintain full compliance with HIPAA, ensuring the confidentiality, integrity, and security of all patient health information (PHI).

Office of Inspector General (OIG) Compliance: We follow OIG guidelines to prevent fraud, waste, and abuse within the healthcare system.

False Claims Act (FCA): We take all necessary precautions to prevent the submission of inaccurate or fraudulent claims to any payer, whether private or government-based.

Billing and Coding Standards: Our team is trained and certified to comply with Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and Healthcare Common Procedure Coding System (HCPCS) codes to ensure accurate claim submission.

We take the privacy and security of patient information very seriously. In compliance with HIPAA and other applicable privacy laws, we ensure:

Patient data is securely stored, transmitted, and accessed only by authorized personnel.

We use encryption, secure passwords, and firewalls to safeguard electronic data.

We conduct regular staff training on the handling of PHI, ensuring all employees understand their role in protecting patient privacy.

Our employees receive comprehensive training in compliance, including HIPAA regulations, fraud prevention, and accurate coding and billing procedures. Every member of our team is required to:

Adhere to all company policies and procedures related to compliance.

Report any suspected fraud, waste, or abuse immediately to the compliance officer.

Participate in ongoing education to stay informed about changes in healthcare regulations and billing practices.

Nexus Billing Group regularly monitors and audits our processes to ensure full compliance with industry standards and regulatory requirements. Our internal compliance program includes:

Routine reviews of billing and coding practices to identify and correct errors.

Regular risk assessments to identify and mitigate potential compliance vulnerabilities.

Internal audits to ensure that policies are being followed and that billing is accurate and compliant.

We encourage all employees, clients, and partners to report any potential compliance concerns or violations. Nexus Billing Group maintains a zero-tolerance policy for any form of retaliation against individuals who raise legitimate compliance concerns. All reports will be thoroughly investigated, and appropriate corrective actions will be taken if necessary.

Corrective Action: Any violation of our compliance policies may result in disciplinary action, up to and including termination of employment or business relationships.

Compliance Hotline: For confidential reporting, please contact our Compliance Officer via email at compliance@@nexusbillinggroup.com.