• Amalgaworks, your compliance advocate, offers oversight as a prevention and risk mitigation strategy. We operationalize these efforts by reviewing the tasks listed below at least annually to ensure that your medical practice makes the best use of Health Information Technology, allowing you to improve processes and transform your patient care. Below are items that can be selected separately or as part of your Compliance Membership. 

    Designated for Amagaworks Oversight

  •     Task Key Indicator


  • Business Office Benchmark/Performance Targets

  • Budget



  • Cost Management / Supplies
  • Budget



  • Facilities / Resources Utilization
  • Budget



  • Preparing the annual budget for operations and capital.
  • Budget



  • Written Compliance Plan updated annually with respect to the OIG's Annual Plan, staff trained accordingly and reported to the Board
  • Compliance



  • Annual Risk Assessment documented
  • Compliance



  • Documentation that the Safety Officer annually reviews the Exposure Control Plan and performs staff training on safety, OSHA Bloodborne Pathogen and Hazard Communication
  • Compliance



  • Annual OSHA safety device evaluation performed/training documented
  • Compliance



  • HIPAA required training performed
  • Compliance



  • HIPAA Business Associate Agreements in place and up to date
  • Compliance



  • Practice's CLIA certificate current
  • Compliance



  • Annual Physician compliance training documented
  • Compliance



  • Referrals do not violate Stark prohibitions (self-referrals)/Anti-kickback regulations
  • Compliance



  • Health Plan summary including key terms
  • Contracting



  • Managed care and payer contracts reviewed/renegotiated
  • Contracting



  • Managed care and payer reimbursement analysis of actual-versus-expected payments
  • Contracting



  • Vendor and maintenance contracts reviewed
  • Contracting



  • Facility leases summarized and reviewed
  • Contracting



  • Facility insurance policies reviewed, summarized and reported
  • Contracting



  • Maximized discounts through group purchasing
  • Contracting



  • Effective payroll management/error reporting/overtime monitoring
  • Contracting



  • EMR System software upgrade management
  • Contracting



  • Physician employment and shareholder agreements summarized and reviewed
  • Contracting



  • Routine external audits/criteria – financial, charts, etc.
  • Contracting



  • Value-based contracting
  • Contracting



  • Updated organization chart
  • Governance



  • Clear definition of roles, responsibilities and accountabilities throughout the organization
  • Governance



  • Organizational turnover rate by job classification measured and reviewed
  • Governance



  • Organizational sacred cows
  • Governance



  • Board and Committee meetings managed efficiently, relevant and all members participate
  • Governance



  • Legal matters monitored and routinely reported to the Board
  • Governance



  • Organizational routine assessment of strategic imperatives and annual updates
  • Governance



  • Contributions to retirement and profit sharing plans properly accrued and funded
  • Governance



  • Financial Proformas and Business Plans developed for all new service considerations

  • Planning




  • Business Office policies and procedures for all key activities
  • Policy



  • Human Resource policies and procedures for job descriptions, evaluations and individual productivity goals for all employees
  • Policy



  • Comprehensive policies and procedures for accounting and financial functions
  • Policy



  • Named budgetary performance accountability
  • Policy



  • Cash management policy ensures checks and balances
  • Policy



  • Accounts payable discounts managed appropriately
  • Policy



  • Maximized collection opportunities/monitoring collection agency reporting
  • Policy



  • Tax payments ~ paid on time and free of penalties
  • Policy



  • Employee onboarding ~ key principles; most importantly the mission and core values
  • Policy



  • Written summary of fringe benefits/costs provided to all employees
  • Policy



  • Compensation levels, by classification, compared to the market value
  • Policy



  • Employee recognition for contributions as a group and as individuals
  • Policy



  • Employee orientation program updated
  • Policy



  • Formal,on-going training program for all employees
  • Policy



  • Formal policy regarding employee communications/social media
  • Policy



  • Routine assessment of provider expectations and job satisfaction
  • Policy



  • Formal policy for provider communications, debate, dissent and the management of potential disruptive behavior
  • Policy



  • Written policies and procedures related to IT responsibilities
  • Policy



  • Backups performed on a routine, scheduled basis
  • Policy



  • Documented Disaster Recovery Plan
  • Policy



  • Organization Bylaws reviewed
  • Policy



  • Routine reports provided to the Board summarizing noncompliance activities with policies, procedures and safety along with outcomes of remedial/corrective actions
  • Policy



  • Routine internal audits/criteria – financial, charts, etc.
  • Policy



  • Controls in place to insure all assets are secured and protected
  • Policy



  • Patient's HIPAA Privacy Notice up-to-date and given to all new patients
  • Policy



  • Patient-Centered Medical Home implementation (PCMH)
  • Policy



  • Patient Satisfaction Performance Targets
  • Quality



  • Referring Physician Performance Targets
  • Quality



  • Continuous quality improvement proactively implemented – Compliance Program
  • Quality



  • All patient incidents reviewed by physicians
  • Quality



  • Monthly Physician/Midlevel Provider Productivity including actual-versus-budgeted
  • Reporting



  • Monthly Business Office reports (Balance Sheet, Operating Statements, Dashboard, ...)
  • Reporting



  • Employee evaluations performed annually and performance goals reviewed
  • Reporting



  • Reporting bundle – monitoring (ROM Membership)
  • Reporting

  • *
  • *

Click here for our Oversight Checklist