Health Care Compliance Professional's Manual

Health Care Compliance Professional's Manual PDF

Author: Wolters Kluwer and the American Health Law Association 

Publisher: Aspen Publishers

Published: 2020-03-10

Total Pages: 1654

ISBN-13: 9781543822892

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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

AHLA Health Care Compliance Legal Issues Manual (Non-members)

AHLA Health Care Compliance Legal Issues Manual (Non-members) PDF

Author: American Health Lawyers Association

Publisher:

Published: 2019

Total Pages:

ISBN-13: 9781522173441

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Authored by experts with years of health care compliance experience, this new edition integrates changes in regulation, trends in enforcement, and the reasoning of the courts to help you navigate emerging and unsettled areas of compliance risk, such as self-disclosure obligations, risks associated with opioid use, and the impact of statistical sampling.Highlights of this edition include:All new glossary of health care compliance terms, including key statutes, acronyms, governing agencies, and moreExpanded civil monetary penalty and exclusion authorities under 2017 final rulesDiscussion of core elements of compliance programs for Medicare Advantage Plans and Part D Plans as established by federal regulationsExpanded whistleblower protections under federal and state law, false claims based on lack of medical necessity, materiality after Escobar, and recent enforcement activityExpanded discussion of determinations of medical necessity, CMS review of medical necessity terminations, consequences, and appeals processesRecent health information privacy and security developments, including new guidance, risks associated with innovative technologies, and trends in Health Insurance Portability and Accountability Act (HIPAA) enforcement activityNew chapters:Chapter 1, Glossary of Key TermsChapter 10, The Relationship between Enforcement and ComplianceChapter 17, Health Care Civil Rights and Nondiscrimination Under Section 1557 of the Affordable Care ActChapter 19, Behavioral Health

Home Care Compliance Manual

Home Care Compliance Manual PDF

Author: Aspen Health Law and Compliance Center

Publisher:

Published: 1999

Total Pages: 380

ISBN-13:

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Presents a book/disk home care compliance tool to help directors of home care agencies understand and comply with Joint Commission standards and other requirements for home care. Coverage encompasses federal, state, and local laws, liability concerns, and Joint Commission requirements. Explains lega

The Health Care Compliance Professional's Manual

The Health Care Compliance Professional's Manual PDF

Author: Hcca

Publisher: Aspen Publishers

Published: 2007

Total Pages: 1080

ISBN-13: 9780735570382

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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

PriorityComplinace(TM) Manual -A Corporate Compliance Program Designed for Skilled Nursing Facilities-

PriorityComplinace(TM) Manual -A Corporate Compliance Program Designed for Skilled Nursing Facilities- PDF

Author: A. Eduardo Gonzalez

Publisher:

Published: 2013-03-01

Total Pages: 127

ISBN-13: 9780615784885

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This is the only Corporate Compliance Manual you`ll ever need! This manual is a complete tool to make sure you`re able to start your mandated corporate compliance program. This manual comes with a Code of Conduct, Policies and Procedures, and a Corporate Compliance Officer Job Description, making this entire program easy to use and implement

Corporate Compliance in Home Health

Corporate Compliance in Home Health PDF

Author: Fay Adrienne Rozovsky

Publisher: Jones & Bartlett Learning

Published: 1998

Total Pages: 536

ISBN-13: 9780834211735

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Litigation is rampant in the home health field - and it's not just about billing and coding. It's also about other practices that could lead to compliance problems, such as substandard employment practices or failing to run background checks. A lawsuit against your agency could come completely out of left field. But you can avoid getting blind-sided and protect your agency. Corporate Compliance in Home Health: Establishing a Plan, Managing the Risks gives home health care providers practical, down-to-earth standards for controlling and preventing losses growing out of corporate compliance. With this new resource from Aspen, get an up-to-date and easy-to-understand review of the law of corporate compliance, find out how the new OIG (Office of the Inspector General of HCFA) model compliance guidance for hospitals impacts home health, and uncover where your agency is at risk. You'll find out what to do if and when your agency comes under investigation, and get important, timely federal reference material from the GAO to HHS, and key parts of the Federal Sentencing Guidelines.

Corporate Legal Compliance Handbook, 3rd Edition

Corporate Legal Compliance Handbook, 3rd Edition PDF

Author: Banks and Banks

Publisher: Wolters Kluwer

Published: 2020-06-19

Total Pages: 1976

ISBN-13: 1543823718

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Corporate Legal Compliance Handbook, Third Edition, provides the knowledge necessary to implement or enhance a compliance program in a specific company, or in a client's company. The book focuses not only on doing what is legal or what is right--the two are both important but not always the same--but also on how to make a compliance program actually work. The book is organized in a sequence that follows how to approach a compliance program. It gives the compliance officer, consultant, or attorney a good grounding in the basics of compliance law. This includes such things as the rules about corporate and individual liability, an understanding of the basics of the key laws that impact companies, and the workings of the U.S. Sentencing Guidelines. Successful programs also require an understanding of educational techniques, good communication skills, and the use of computer tools. The effective compliance program also takes into account how to deliver messages using a variety of media to reach employees in different locations, of different ages or education, who speak different languages. Note: Online subscriptions are for three-month periods.