The Healthcare Compliance Professional S Guide To Policies And Procedures
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The Healthcare Compliance Professional S Guide To Policies And Procedures
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Author : Richard P. Kusserow
language : en
Publisher: Hcpro, a Division of Simplify Compliance
Release Date : 2008
The Healthcare Compliance Professional S Guide To Policies And Procedures written by Richard P. Kusserow and has been published by Hcpro, a Division of Simplify Compliance this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical care categories.
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
The Healthcare Compliance Professional S Guide To Clinical Trials
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Author : F. Lisa Murtha
language : en
Publisher: Hcpro, a Division of Simplify Compliance
Release Date : 2008
The Healthcare Compliance Professional S Guide To Clinical Trials written by F. Lisa Murtha and has been published by Hcpro, a Division of Simplify Compliance this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Clinical trials categories.
Billing for clinical trials is a focal point of government scrutiny, with several new CMS directives that mandate compliance with regulations for hospitals and university research facilities. The Healthcare Compliance Professional's Guide to Clinical Trials helps you sort through the various rules and establish policies and procedures that ensure Medicare-covered research is reimbursed appropriately. Professional's Guide to Clinical Trials Written by the Huron Consulting Group, a team of clinical research compliance experts, The Healthcare Compliance Professional's Guide to Clinical Trials will help ensure that your facility minimizes its compliance risk in the important research that it conducts. With this book, you can: *Customize forms to conduct a Medicare Coverage Analysis *Develop your own review plan based on proven sample auditing and monitoring templates *Analyze recent changes to the National Coverage Determination *Apply concepts from real-life clinical trial situations to your compliance program *Coordinate research and revenue teams The sample materials in this guide can be used right away. Download them from the companion CD-ROM and customize each document to fit your specific needs. It's that easy to develop a plan to ensure that your clinical trial research conforms to CMS regulations and that you receive the proper reimbursement.
Health Care Compliance Professional S Manual
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Author : Wolters Kluwer and the American Health Law Association
language : en
Publisher: Aspen Publishers
Release Date : 2020-03-10
Health Care Compliance Professional S Manual written by Wolters Kluwer and the American Health Law Association and has been published by Aspen Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-03-10 with Compliance categories.
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
The Health Care Compliance Professional S Manual
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Author : Hcca
language : en
Publisher: Aspen Publishers
Release Date : 2007
The Health Care Compliance Professional S Manual written by Hcca and has been published by Aspen Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Law categories.
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
1st Healthcare Compliance
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Author : Sheba Vine
language : en
Publisher:
Release Date : 2019
1st Healthcare Compliance written by Sheba Vine and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with Medical care categories.
Compliance Management
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Author : Nitish Singh Ph.D.
language : en
Publisher: Bloomsbury Publishing USA
Release Date : 2015-03-10
Compliance Management written by Nitish Singh Ph.D. and has been published by Bloomsbury Publishing USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-03-10 with Business & Economics categories.
This practical guide shows how to build an effective compliance and ethics program that will lower a business's risks and improve productivity. Research increasingly supports the notion that ethical, compliant businesses see increased productivity across a range of measurements. This practical guide tells business professionals, business and law students, and other interested parties exactly how that goal can be achieved. The book covers an extensive range of ethics-compliant laws and regulations impacting businesses today and identifies critical factors for successful compliance programs. Going well beyond works that speak in general terms about compliance-based actions, this unique volume delves into details about specific regulatory issues and the steps that can be taken to mitigate risk. The first half of the book shares general guidelines for creating or improving internal compliance and ethics programs. The second half identifies specific, high-risk regulatory areas; provides an overview of relevant laws; and sets forth best practices specific to the regulations discussed. By providing a simplified understanding of compliance with laws related to issues such as antitrust, international business, wages and labor, Health Insurance Portability and Accountability Act (HIPAA) and health care, the environment and more, the guide offers readers the tools necessary to improve an existing compliance program or create a new program where none has existed before.
Hipaa Compliance Officer The Comprehensive Guide
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Author : VIRUTI SHIVAN
language : en
Publisher: Viruti Satyan Shivan
Release Date :
Hipaa Compliance Officer The Comprehensive Guide written by VIRUTI SHIVAN and has been published by Viruti Satyan Shivan this book supported file pdf, txt, epub, kindle and other format this book has been release on with Medical categories.
In an era where data breaches and privacy concerns are rampant, "HIPAA Compliance Officer - The Comprehensive Guide" emerges as the essential beacon for professionals navigating the complex landscape of healthcare information privacy and security. This guide is meticulously designed to arm you with the knowledge, strategies, and insights necessary to excel in the role of a HIPAA Compliance Officer, ensuring the confidentiality, integrity, and availability of protected health information (PHI). Without relying on images or illustrations, this book dives deep into the essence of HIPAA regulations, offering clear, actionable guidance and real-world applications that transcend theoretical knowledge. Beyond mere compliance checklists, this comprehensive resource delves into the intricacies of developing robust privacy and security programs, managing risk assessments, and fostering a culture of compliance within healthcare organizations. Each chapter is crafted to unravel the complexities of HIPAA provisions, making them accessible and actionable for professionals at all levels. Whether you're new to the field or seeking to enhance your expertise, this book stands out as a must-buy, offering unparalleled insights and practical advice that equip you to tackle the challenges of HIPAA compliance with confidence and proficiency.
Regulatory Compliance In The Healthcare Industry
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Author : Dr. Akash Sharma, Ms. Vriti Gamta, Mr. Gaurav Luthra
language : en
Publisher: Notion Press
Release Date : 2023-08-09
Regulatory Compliance In The Healthcare Industry written by Dr. Akash Sharma, Ms. Vriti Gamta, Mr. Gaurav Luthra and has been published by Notion Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-08-09 with Medical categories.
Regulatory Compliance in the Healthcare Industry: Navigating the Complexities" is a comprehensive guide that equips healthcare professionals with the knowledge and strategies needed to ensure compliance with regulatory requirements. Authored by experts in healthcare compliance, this book covers key topics such as patient privacy, data security, quality of care and compliance program development. Real-world case studies, best practices and practical tools make this book an essential resource for healthcare professionals, compliance officers and administrators seeking to navigate the intricate landscape of regulatory compliance and promote ethical practices in the ever-evolving healthcare industry.
Complete Healthcare Compliance Manual 2021
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Author :
language : en
Publisher:
Release Date : 2021-04
Complete Healthcare Compliance Manual 2021 written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-04 with categories.
Healthcare Information Privacy And Security
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Author : Bernard Peter Robichau
language : en
Publisher: Apress
Release Date : 2014-06-23
Healthcare Information Privacy And Security written by Bernard Peter Robichau and has been published by Apress this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-06-23 with Computers categories.
Healthcare IT is the growth industry right now, and the need for guidance in regard to privacy and security is huge. Why? With new federal incentives and penalties tied to the HITECH Act, HIPAA, and the implementation of Electronic Health Record (EHR) systems, medical practices and healthcare systems are implementing new software at breakneck speed. Yet privacy and security considerations are often an afterthought, putting healthcare organizations at risk of fines and damage to their reputations. Healthcare Information Privacy and Security: Regulatory Compliance and Data Security in the Age of Electronic Health Records outlines the new regulatory regime, and it also provides IT professionals with the processes and protocols, standards, and governance tools they need to maintain a secure and legal environment for data and records. It’s a concrete resource that will help you understand the issues affecting the law and regulatory compliance, privacy, and security in the enterprise. As healthcare IT security expert Bernard Peter Robichau II shows, the success of a privacy and security initiative lies not just in proper planning but also in identifying who will own the implementation and maintain technologies and processes. From executive sponsors to system analysts and administrators, a properly designed security program requires that that the right people are assigned to the right tasks and have the tools they need. Robichau explains how to design and implement that program with an eye toward long-term success. Putting processes and systems in place is, of course, only the start. Robichau also shows how to manage your security program and maintain operational support including ongoing maintenance and policy updates. (Because regulations never sleep!) This book will help you devise solutions that include: Identity and access management systems Proper application design Physical and environmental safeguards Systemwide and client-based security configurations Safeguards for patient data Training and auditing procedures Governance and policy administration Healthcare Information Privacy and Security is the definitive guide to help you through the process of maintaining privacy and security in the healthcare industry. It will help you keep health information safe, and it will help keep your organization—whether local clinic or major hospital system—on the right side of the law.