Download or read book The Physician Compliance Auditing and Monitoring Manual written by Bill Dacey and published by Delmar. This book was released on 2001 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Physician Compliance Auditing and Monitoring Guide written by Ingenix, Inc. Staff and published by . This book was released on 2001-11 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Physician Compliance Auditing and Monitoring written by Ingenix, Incorporated and published by . This book was released on 2002-11 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Compliance Professional s Manual written by Wolters Kluwer and the American Health Law Association and published by Aspen Publishers. This book was released on 2020-03-10 with total page 1654 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
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 Physician Compliance Implementation Manual written by Bill Dacey and published by Delmar. This book was released on 2001 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Physician Practice Compliance Resource Manual written by Clay Countryman and published by Aspen Pub. This book was released on 2001 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Physician Practice Compliance Resource Manual is a comprehensive, practical resource designed specifically for the medical group practice environment. This manual will not only review the legislation governing compliance issues in group practices, it will provide practical instruction and tools for implementing a physician practice compliance program, as well as sample forms, policies and procedures to help practices get started. The material will include checklists to guide physicians in meeting Federal compliance guidelines; a suggested schedule and work plan for developing a compliance program; audit plans, including information on working with attorneys and consultants; sample discipline, waiver, billing and reporting policies, and much more. An indispensable resource, the manual will be updated annually.
Download or read book Hospital Auditing and Monitoring Toolkit written by HCPro and published by HC Pro, Inc.. This book was released on 2007-09 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Monitoring and Auditing Practices for Effective Compliance written by John Steiner, Jr. and published by . This book was released on 2002-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This book was prepared to assist compliance officers and compliance committee members with designing and maintaining an effective corporate compliance program by providing an in-depth look at monitoring and auditing strategies and tactics.
Download or read book The Health Care Compliance Professional s Manual written by Hcca and published by Aspen Publishers. This book was released on 2007 with total page 1080 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Compliance for Coding Billing Reimbursement 2nd Edition written by Duane C. Abbey and published by CRC Press. This book was released on 2008-04-02 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.
Download or read book Managing Relationships with Industry written by Steven C. Schachter and published by Academic Press. This book was released on 2010-07-28 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now more than ever, doctors are being targeted by government prosecutors and whistleblowers challenging the legality of their relationships with drug and device companies. With reputations at stake and the risk of civil and criminal liability, it is incumbent upon doctors to protect themselves. Managing Relationships with Industry: A Physician’s Compliance Manual is an indispensable resource for doctors, professional societies, academic medical centers, community hospitals, and group practices struggling to understand the ever changing law and ethical standards on interactions with pharmaceutical and device companies. It is the first comprehensive summary of the law and ethics on physician relationships with industry written for the physician. Authored by a former state Attorney General, Harvard Medical School Professor, health care lawyer and professor of ethics, Managing Relationships approaches the topic from a balanced and reasoned perspective adding to the on-going national dialogue and debate on the proper limits to medicine’s relationship with industry. The first complete and up-to-date summary and analysis of the law and ethics on physician-industry relationships Focuses on major enforcement actions and whistleblower lawsuits and the lessons learned for physicians Provides options and guidance for maintaining compliant relationships and avoiding traps for the unwary Covers both drug and device company relationships Summarizes the types of industry relationships that are necessary and productive and those that are harmful and abusive Details the law and ethics for each type of relationship including gifts, off-label uses and marketing, CME, speaker’s bureaus, free samples, grants, consulting arrangements, etc. Includes sample contracts for permissible consulting and CME speaker engagements
Download or read book The Compliance Officer s Handbook Third Edition written by Robert A. Wade and published by Hcpro, a Division of Simplify Compliance. This book was released on 2014-04-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Download or read book Compliance written by Cherilyn G. Murer and published by McGraw-Hill Professional Publishing. This book was released on 1998 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Healthcare Financial Management Series. Practical and legal guide for financial managers and other healthcare professionals on how to create and manage a corporate compliance program. Topics included: principals of corporate criminal liability, compliance programs and the U.S. sentencing guidelines, and model programs.
Download or read book Auditing Evaluation and Management Services Second Edition written by Joe Rivet and published by Hcpro, a Division of Simplify Compliance. This book was released on 2011-06-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Auditing Evaluation and Management Services: A Step-By-Step Guide to Accurate Coding, Reimbursement and Compliance, Second Edition Joe Rivet, CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHC Turn E/M audits into informative reports that minimize your compliance risk The government is increasing its scrutiny of physician E/M coding. Conducting your own E/M coding audits is best practice to effectively: Analyze complex code assignment options to select the appropriate code Assign an appropriate E/M code based on documentation in the record Identify opportunities for increased revenue and ways to reduce compliance risks Understand the rules and regulations that apply to E/M services billed to Medicare Auditing Evaluation and Management Services is an essential tool to ensure audit success and E/M compliance. This second edition goes beyond the fundamentals of E/M coding and delves into the gray, problematic compliance areas. Author Joe Rivet delivers step-by-step guidance from beginning to end of the E/M audit process. You'll learn how to Select an E/M code, Conduct an entire audit of your E/M services Report your E/M audit findings With this foundation, you'll be well prepared to enhance compliance and identify undercoding, underreporting, overcoding, revenue opportunities, and avenues for documentation improvement. Auditing Evaluation and Management Services, Second Edition, will help practices enhance existing auditing programs by explaining how to determine accurate E/M error rates and assess risk. You will learn how to: Determine proper E/M code selection Conduct risk assessments Structure audits, using the provided E/M audit tool, and package audits Create provider audit summary reports, practice audit summary reports, missed revenue reports, and an action plan Follow guidelines for facility E/M services and interpret the rules governing E/M services involving residents or fellows (including acceptable and unacceptable documentation) Develop a compliance plan and educate a variety of audiences from physicians to coding staff Take a look at the table of contents E/M Code Categories NEW! Selecting an E/M Code Conducting a Risk Assessment E/M Audit Structure Using an Audit Tool Packaging an Audit Facility E/M Services NEW! Teaching Physician Services NEW! Developing a Compliance Plan Education Techniques NEW! What's new? New chapters devoted to: E/M Code Categories Facility E/M Services Teaching Physicians Education Techniques Who will benefit from this book? Auditors and compliance officers in physician practices and hospitals Health systems that own physician practices Business managers Office managers Practice administrators Coding, billing, and reimbursement managers and staff Earn continuing education credits American Academy of Professional Coders This program has prior approval of the American Academy of Professional Coders (AAPC) for 3 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content, or the program sponsor. American Health Information Management Association This program has been approved for 4 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
Download or read book The Compliance Officer s Handbook written by Bret S. Bissey and published by HC Pro, Inc.. This book was released on 2006 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
