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The CCA Compliance team is launching a new program to reflect its best-in-class commitment, focusing on continuously improving and enhancing its regulatory compliance oversight across all CCA business entities.

To pinpoint one area of this continuous program enhancement, the new CCA Compliance Physician Services Program will focus on further development of enterprise-wide provider auditing and monitoring oversight. The program:

While the items listed above target enterprise-level outcomes, CCA Compliance also focuses on the individual provider, being mindful of the need to support education and potential training needs. To this end, our reinvigorated program also considers:

As a first step, providers may refer to the CCA Outpatient Evaluation & Management Services New & Established Patient Encounter Requirements, available for reference and download here.

It is based on an American Medical Association reference guide and aids providers in the selection of levels of service for new and established outpatient encounters. It reflects code changes that became effective January 1, 2021.

For more information about CCA’s Compliance Program for Massachusetts and Rhode Island, please refer to the Compliance and Fraud, Waste & Abuse Programs section in our provider manuals.

Please reach out to our compliance team with your questions or concerns: