New and Current Faculty Training
Professional Billing Compliance and Audit Training Program
The UCLA Faculty Practice Group requires all new UCLA clinical faculty, volunteer clinical faculty, staff physicians and allied health professionals to successfully complete the UCLA Health System's "Professional Billing Compliance Training Program" ("Training Program") and demonstrate an understanding of the principles, laws and regulations governing payment of claims for Professional Services. The new Providers are required to complete the following steps within the time frames specified:
- Second Step: Attendance at an initial practical coding training offered by the Professional Compliance Office pertaining to service and diagnosis code assignment. This must be completed within 60 days of a new provider's first clinical assignment day. Please contact Mia Gutierrez to schedule training at MCGutierrez@mednet.ucla.edu
- Third Step: Successful completion of a Professional Compliance coding audit. This audit is triggered upon the Provider's completion of 30 patient visits. A Provider is considered to have successfully completed the Training Program if written documentation supports the claims. Providers who fail to successfully complete must attend additional coding training and are subject to further auditing.
- Consequences of Not Successfully Completing Training Program: If a Provider fails to successfully complete after a second round of training, all charges submitted for billing are place on hold and are not billed until the Provider can demonstrate compliance in accordance with the Faculty Practice Group's "Standards and Guidelines" for Compliance and Billing and the Provider's Department requirements.
The UCLA Professional Compliance Department is committed to support you with documentation, coding and billing questions and other compliance concerns. If you have any questions regarding the process, please contact either your Department of CAO, or Mia Gutierrez at MCGutierrez@mednet.ucla.edu or (310) 794-6763.
Online Coding Training Modules:
Current Faculty and Provider Billing Compliance Training
Current faculty and providers associated with UCLA can review helpful information online, according to their department/division, located on the links above. If the physician or provider prefers to request a refresher course with an instructor, the course can be scheduled by contacting Mia Gutierrez at MCGutierrez@mednet.ucla.edu or (310) 794-6763.