Download or read book The Compliance Program Effectiveness Handbook written by Lawrence W. Vernaglia and published by Hcpro, a Division of Blr. This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 "
Download or read book Complete Healthcare Compliance Manual 2021 written by and published by . This book was released on 2021-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Compliance Effectiveness Study written by Lori S. Richardson Pelliccioni and published by . This book was released on 2002 with total page 1358 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Compliance Program Effectiveness written by U.S. Departmenf of Health and Human Services. Office of Inspector General and published by . This book was released on 2017 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare written by Leslie G. Aronovitz and published by DIANE Publishing. This book was released on 2008-05 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recognizing the important role that compliance programs could play in helping health care providers & the enforcement community work together to reduce improper payments by Medicare, the author was asked to determine: (1) how prevalent are compliance programs among hospitals & other Medicare providers; (2) what costs are involved with compliance programs; & (3) to the extent effectiveness can be measured, how effective these programs are. This review focused almost exclusively on hospital & hospital-affiliated providers because they receive the largest share of Medicare funds & are the focus of several current enforcement actions. Tables.
Download or read book Building a World Class Compliance Program written by Martin T. Biegelman and published by John Wiley & Sons. This book was released on 2008-06-20 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by a long-standing practitioner in the field, this timely and critical work is your best source for understanding all the complex issues and requirements associated with corporate compliance. It provides clear guidance for those charged with protecting their companies from financial and reputational risk, litigation, and government intervention, who want a robust guide to establish an effective compliance program.
Download or read book International Compliance 101 written by Debbie Troklus and published by . This book was released on 2013 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Guidelines Manual written by United States Sentencing Commission and published by . This book was released on 1988 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book United States Attorneys Manual written by United States. Department of Justice and published by . This book was released on 1988 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Complete Compliance Handbook written by Thomas Fox and published by . This book was released on 2018-05-05 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thomas Fox, the Compliance Evangelist, is one of the leading writers, thinkers and commentators on the nuts and bolts of compliance. His always practical advice is now available in one volume, The Complete Compliance Handbook. This book incorporates the most recent pronouncements and guidance from the Department of Justice, including 2017's Evaluation of Corporate Compliance Programs and FCPA Corporate Enforcement Policy, to provide the most up-to-date advice on what constitutes a best practices compliance program. In this single volume compendium, Fox brings together the tops ideas, topics and techniques you can incorporate your compliance program, literally in 31-days to more fully operationalize your compliance regime. If you want one volume to guide you in operationalizing compliance, this is it. The book is designed to provide you with a step-by-step guide to the design, creation, implementation of or enhancement to a compliance program. It begins with 31-days to a more effective compliance program. Each entry presents one thing you can accomplish, at little to no cost, to improve any level of compliance program. There are three key-takeaways for each entry. The final chapter goes through the same process for you to operationalize your compliance program. In between these bookends, The Complete Compliance Handbook features chapters on: -Operationalizing Compliance Through Human Resources -The Role of the Board of Directors and Compliance -360-Degrees of Communication in Compliance -Better Third-Party Risk Management -Reporting and Investigations -Internal Controls -Innovation in Compliance -Written Standards -More Effective Compliance for Business Ventures -Continuous Improvement The author, Thomas Fox, has written 15 books on compliance, leadership and business ethics. He founded the Compliance Podcast Network and has one of the largest social media presences in compliance. He has worked in the compliance arena for over 10 years and draws upon his many years of experience in the profession to create this single volume which will become the standard 'nuts and bolts' text on compliance. Fox's writing style is suited for any skill level of compliance practitioner or maturity of corporate compliance program.
Download or read book Corporate Legal Compliance Handbook 3rd Edition written by Banks and Banks and published by Wolters Kluwer. This book was released on 2020-06-19 with total page 1976 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Standards for Internal Control in the Federal Government written by United States Government Accountability Office and published by Lulu.com. This book was released on 2019-03-24 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Policymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers? Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.
Download or read book The Healthcare Compliance Professional s Guide to Policies and Procedures written by Richard P. Kusserow and published by Hcpro, a Division of Simplify Compliance. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book An Effective Compliance Program written by Devanesan Evanson and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Compliance Management for Public Private or Non Profit Organizations written by Michael G. Silverman and published by McGraw Hill Professional. This book was released on 2008-04-13 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today’s business climate, accountability, transparency, and a high regard for laws, regulations, and ethical conduct is as much a part of how an organization manages its affairs as its primary mission and operations. Compliance Management for Public, Private, or Nonprofit Organizations is a complete, hands-on guide to implementing strategies and techniques for developing, managing, and improving the compliance function of any organization. Author Michael G. Silverman is a corporate expert in strategic planning, program management, compliance, risk assessment, and policy development. In Compliance Management for Public, Private, or Nonprofit Organizations, he presents a comprehensive treatment of the subject by examining the traditional compliance issues associated with laws and regulations, as well as matters surrounding ethical behavior, organizational structure, technology, administration, and risk management. From establishing compliance goals and managing education and training programs to operating a whistle-blowing program and addressing staffing and budgeting requirements, this practical resource covers everything compliance officers and risk and organizational managers need to know, including: Where and how to establish a compliance program within an organization The critical skills and expertise for maintaining an effective compliance program Pros and cons of making a compliance program a part-time function of an organization How to deliver bad news to senior management—and survive Compliance Management for Public, Private, or Nonprofit Organizations includes a wealth of examples that illustrate the real-world applications of critical strategies and techniques for using the board of directors and senior management to promote compliance, reduce employee and management barriers to compliance, conduct in-depth risk assessment and compliance audits, and more.
Download or read book Corruption Crime and Compliance written by Michael Volkov and published by Ethics 360 Media. This book was released on 2011-10 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Michael Volkov's career has spanned 30 years as an attorney in Washington, D.C. - as a federal prosecutor, a Chief Counsel on the Senate and House Judiciary Committees, a trial attorney in the Antitrust Division and in private practice. This book will help anyone better understand anti-bribery compliance in the U.S. and beyond. "Michael Volkov's book is a compilation of articles on a number of subjects important to lawyers advising clients how to stay out of trouble. He is a prolific writer and I can say without question, we have not heard the last of his musings. Simply put, his book contains important information that should prove helpful to lawyers, particularly to those who practice in the white collar field." - Judge Stanley Sporkin, Former Director of the Division of Enforcement, U.S. Securities and Exchange Commission.
Download or read book Government Auditing Standards 2018 Revision written by United States Government Accountability Office and published by Lulu.com. This book was released on 2019-03-24 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: Audits provide essential accountability and transparency over government programs. Given the current challenges facing governments and their programs, the oversight provided through auditing is more critical than ever. Government auditing provides the objective analysis and information needed to make the decisions necessary to help create a better future. The professional standards presented in this 2018 revision of Government Auditing Standards (known as the Yellow Book) provide a framework for performing high-quality audit work with competence, integrity, objectivity, and independence to provide accountability and to help improve government operations and services. These standards, commonly referred to as generally accepted government auditing standards (GAGAS), provide the foundation for government auditors to lead by example in the areas of independence, transparency, accountability, and quality through the audit process. This revision contains major changes from, and supersedes, the 2011 revision.
