Complete Healthcare Compliance Manual 2021 PDF Download
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Author:
Publisher:
ISBN: 9781733598750
Category :
Languages : en
Pages :
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Author:
Publisher:
ISBN: 9781733598750
Category :
Languages : en
Pages :
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Author: D. Scott Jones
Publisher: Hcpro Incorporated
ISBN: 9781578392155
Category : Medical
Languages : en
Pages : 194
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Author: Hcca
Publisher: Aspen Publishers
ISBN: 9780735570382
Category : Law
Languages : en
Pages : 1080
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The Health Care Compliance Professional's Manual gives you all the tools you need to plan and execute a customized compliance program that meets federal standards. It walks you through the entire process, start to finish, showing you how to draft compliance policies, build a strong compliance infrastructure in your organization, document your efforts, apply self-assessment techniques, create an effective education program, pinpoint areas of risk, conduct internal probes and much more. The Health Care Compliance Professional's Manual is used by the Health Care Compliance Association (HCCA) as the basic text for its Compliance Academy - the program that prepares compliance professionals for the CHC (Certificate in Healthcare Compliance) certification exam. The Health Care Compliance Professional's Manual will help you to: Use OIG publications and Federal Sentencing Guidelines to help plan and execute a customized compliance strategy that meets tough federal standards Perform risk assessment to pinpoint areas within your company that pose compliance and operational risks Draft compliance policies that form the foundation for a strong compliance program Build a strong infrastructure for compliance to work, including hiring the right personnel Create an effective education and training program that instills in employees the value of legal compliance Conduct internal probes that uncover legal violations before the federal government does - and mitigate possible penalties Stay up-to-date on all the latest legal and regulatory requirements affecting your facility, including HIPAA, EMTALA, fraud and abuse reimbursement, privacy, security, patient safety and much more! Packed with tools to make your job easier, The Health Care Compliance Professional's Manual will provide: Practical coverage of federal and state laws governing your facility Document efforts and apply self assessment techniques Insight into helpful federal standards on effective compliance programs Step-by-step guidance on implementing a sound compliance program Time-saving sample compliance policies, forms, checklists, and chart The Health Care Compliance Professional's Manual will protect your company if violations do occur: Learn how to apply auditing, monitoring, and self-assessment techniques Discover how to successfully follow the OIG's voluntary disclosure program to resolve overpayment problems and avoid exclusion from Medicare Find out how to enter into a corporate integrity agreement to settle with the federal government and mitigate FCA-related penalties Document your compliance efforts so you leave a protective paper trail that shields you from liability And much more
Author: Robert A. Wade
Publisher: Hcpro, a Division of Simplify Compliance
ISBN: 9781615693498
Category : POLITICAL SCIENCE
Languages : en
Pages : 0
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The Compliance Officer's Handbook, Third Edition, gives compliance officers everything they need to take charge of a healthcare compliance program, whether they are new to the field or seasoned professionals who want to incorporate the latest strategies. Packed with legal insights from two experts on the latest OIG regulations, this handbook delivers tools, practical examples, and interpretations to build and maintain programs consistent with best practices for risk assessment, HIPAA compliance, training, monitoring, and auditing for compliance, and a host of other organizational responsibilities. ... The new edition includes: A new, in-depth chapter interpreting HIPAA regulations, including compliance with the authorization and notification requirements related to the privacy, security, and breach notification rules. A comprehensive chapter detailing critical issues for the compliance officer: establishing, monitoring, and documenting fair market value and commercial reasonableness between referral sources to avoid violating the Stark Law and Anti-Kickback Statute, or the False Claims Act. The following new forms: Income Guarantee Monthly Report, Community Need Checklist, Employment Justification Analysis Form, and Non-Monetary Benefit Tracking Form.
Author: Lawrence W. Vernaglia
Publisher: Hcpro, a Division of Blr
ISBN: 9781578399826
Category : Health facilities
Languages : en
Pages : 0
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How do you know whether you compliance program is effective? Have you really done everything the government expects you to do? You could read the OIG s "Compliance Program Guidance for Hospitals" and its "Supplemental Compliance Program Guidance for Hospitals," but they are poorly organized and difficult to follow. You need one source that illuminates the OIG s expectations in an easy-to-follow checklist format. You need one easy-to-use reference that documents your past efforts and helps you determine your next steps to ensure compliance effectiveness.Now, following the Guidances is easier than ever The Compliance Program Effectiveness Handbook makes it easier to follow the compliance "Guidances" and make sure that they are a viable and effective component of your hospital s day-to-day compliance program. The Compliance Program Effectiveness Handbook walks you through each of the seven elements of a hospital compliance program. Furthermore, it outlines the OIG s expectations for complying with rules governing physician referrals, kickbacks, conflicts of interest, billing and coding, and discounts and care for the uninsured. You ll find dozens of pages of checklists to help you benchmark your progress and map the steps you need to take to make your compliance program more effective. Author Lawrence W. Vernaglia, J.D., M.P.H., and the editorial team, take the government s complicated language and translate it into plain English to give you a clear, concise blueprint to rate your compliance program s effectiveness or build a new program from scratch.Easy-to-follow action steps determine compliance at-a-glance Does your hospital measure up to government standards? You ll know quickly where you stand and what you need to do to make your compliance program as effective as it can be.The checklists help you: understand the OIG s "Guidances" by defining and explaining each component in easy-to-follow language simplify the analysis of your program s effectiveness by showing you exactly where you need to focus attention target staff and resources as you decide how to prioritize areas that need attention benchmark your compliance program against the OIG s expectations evaluate results of your efforts and redirect subsequent efforts to continue to strengthen your program The included CD-ROM makes the job even easier All of the checklists in The Compliance Program Effectiveness Handbook are on the included CD-ROM. Just download and customize for your organization. Use your results to document action steps and demonstrate your efforts to meet the OIG s standards. The CD-ROM also includes fully searchable text of the OIG s" Guidances" so you can refer to the government s actual documents. Maintaining an effective compliance program takes a continuing effort. The Compliance Program Effectiveness Handbook is your key to measuring your compliance program s effectiveness.Take look at the Table of Contents Introduction to the Compliance "Guidances" Chapter 1: Guidance concerning hospital compliance programs Chapter 2: Billing, coding, documentation, and accounting risk areas Chapter 3: Anti-kickback, Stark Law, and provider-arrangement risk areas Chapter 4: Risks related to patient care, ability to pay, and discounts Appendix 1: OIG "Compliance Program Guidance "checklist Appendix 2: OIG "Supplemental Compliance Program Guidance" checklist Appendix 3: The Gradually Changing Landscape: The New OIG Enforcement Guidance For Hospitals "
Author: D. Scott Jones
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 204
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Author: Richard P. Kusserow
Publisher: Hcpro, a Division of Simplify Compliance
ISBN: 9781601461728
Category : Medical care
Languages : en
Pages : 0
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Book Description
Ready-made compliance policies and procedures that you can adapt to your facility. Policies and procedures are the backbone of any compliance program. Compliance professionals must ensure that their policies and procedures are effective and up to date. To ensure effectiveness, the OIG expects hospitals to regularly re-evaluate their policies and procedures. Insight from a former Inspector General The Healthcare Compliance Professional's Guide to Policies and Procedures is written by former Inspector General Richard P. Kusserow. He has filled this book with sample policies and procedures that hospitals can use to strengthen their existing compliance program or help build a new one. Customize your program immediately The Healthcare Compliance Professional's Guide to Policies and Procedures provides the easy-to-use policies and procedures you need to ensure that your compliance program runs efficiently and smoothly. With these tools you will be able to: Implement proven, effective policies and procedures by using the sample templates provided Instruct staff with easy-to-comprehend instructions regarding policy and procedure development Identify best practices for policy and procedure development that are most likely to pass OIG investigation Ensure your policies are up to date with all legislation passed through the beginning of 2008 All of these sample policies and procedures can be used right away. Download our sample policies directly from the companion CD-ROM. You can then customize each document to fit your specific situation. It's that easy to develop a proven, effective set of policies and procedures! Take a look at the table of contents to see the variety of sample policies and procedures you will receive with The Healthcare Compliance Professional's Guide to Policies and Procedures: Compliance program oversight policies and procedures Compliance officer duties and responsibilities Confidentiality agreements Compliance officer and legal counsel protocol Records management Standards of conduct Ethics Compliance education and training Billing and coding policies Accurate coding Observation status Accurate documentation Prohibition of fraudulent and abusive billing Medicare's "incident to" rule Charity/uninsured care Medical necessity How to check for medical necessity ABN use for items and services that do not meet medical necessity Conflicts of interest agreements Gifts Vendor relationships Discounts/professional courtesies Reporting compliance problems Hotline use Hotline auditing Responses to complaints Nonretaliation policy (whistleblower protection) Auditing and monitoring Procedures for documenting auditing and monitoring Standards for auditing and monitoring Policies specific to laws and regulations Stark Anti-kickback statute False Claims Act Deficit Reduction Act EMTALA HIPAA Other risk areas Quality of care Clinical trials
Author: Bret S. Bissey
Publisher: HC Pro, Inc.
ISBN: 1578397537
Category : Hospitals
Languages : en
Pages : 152
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Book Description
Author: Wolters Kluwer and the American Health Law Association
Publisher: Aspen Publishers
ISBN: 9781543822892
Category : Compliance
Languages : en
Pages : 1654
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Book Description
The Health Care Compliance Professional's Manual is one of the most vital, long-standing, and best known resources in the world of health care compliance. It has all the tools you and your compliance team need to plan and execute a customized compliance program. This new edition is filled with industry best practices, sample forms, policies, procedures, and much more to save you time and comply with federal standards. The Health Care Compliance Professional's Manual will help you to: Use OIG publications and Federal Sentencing Guidelines to plan and execute a customized compliance strategy that meets tough federal standards and minimizes enforcement risks Oversee physician compensation and referrals Perform risk assessments using matrixes with step-by-step instructions to pinpoint areas that pose compliance and operational risks Draft compliance policies that form the foundation for a strong compliance program Build a strong infrastructure reinforced by industry best practices Create an effective education and training program that instills in employees the importance of legal compliance Implement a privacy and security plan that ensures patient information is protected Stay up-to-date on the latest legal and state and federal regulatory requirements affecting your facility, in areas such as HIPAA, EMTALA, fraud and abuse, reimbursement, privacy, security, patient safety, and clinical research Study for CCB(R) Certification in Healthcare Compliance (CHC) Packed with tools to make your job easier and more efficient, The Health Care Compliance Professional's Manual will provide: Practical coverage of federal and state laws governing your facility Insight into helpful federal standards on effective compliance programs Step-by-step guidance on implementing a sound compliance program Examples of common risk areas and how to handle them Time savings and peace of mind from sample policies, checklists and forms from members of the American Health Law Association (AHLA) The Health Care Compliance Professional's Manual will help you protect your company if violations do occur: Learn how to apply auditing, monitoring, and self-assessment techniques for conducting internal investigations Discover how to successfully follow the OIG's voluntary disclosure program to resolve overpayment problems and avoid exclusion from Medicare Find out how to enter into a corporate integrity agreement to settle with the federal government and mitigate FCA-related penalties Document your compliance efforts so you leave a protective paper trail that shields you from liability And much more Previous Edition: Health Care Compliance Professional's Manual, Second Edition ISBN: 9781543813265 SKU: 10071961-7777
Author: Sue Bowman
Publisher:
ISBN:
Category : Information resources management
Languages : en
Pages : 120
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Book Description
