Essentials of Healthcare Compliance

by
Edition: 1st
Format: Paperback
Pub. Date: 2009-01-13
Publisher(s): Cengage Learning
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Summary

Essentials of Health Care Compliance provides you with the knowledge and skills necessary to understand how a formal compliance program is implemented at a health care facility. Managing several staff members and keeping a health care practice compliant with federal, state, and local statutes and regulations is a challenging job. Real-world examples and the author’s hands-on approach will help you visualize yourself on-the-job, using the knowledge you have gained from this book to meet these challenges.

Table of Contents

Introduction in Compliance
Introduction to Law and Ethics
Government Enforcement Agencies, Statutes and Initiatives
The Legal Medical Record
The National Health Information Infrastructure (NHII)
OIG: Understanding the Basics V Fraud and Abuse Prevention and Detection
OIG: Protecting the Claims Payment Processes of the Government Payers
OIG: Practical Management of Coding Compliance
OIG: Practical Management of the Reimbursement Process
HIPAA: Understanding the Basics V Streamlining Processing and Protecting Health Information
HIPAA: Electronic Transactions, Code Sets and Unique Identifiers
HIPAA: Privacy Regulations
HIPAA: Security Regulations
Hands on HIPAA: Compliant EDI
Hands on HIPAA: Compliant Communications and Administrative
Hands on HIPAA: Compliant Information Systems
Hands on HIPAA: Staff Training and Education
Hands on HIPAA: The Role of the Business Associate
Building the Compliance Program
Auditing and Monitoring Healthcare Compliance Practices
Appendices
Job Descriptions
Forms and Checklists
Glossaryof Terms
Matrix for Policies and Procedures
Web links
Sample Training Modules for Employees
Table of Contents provided by Publisher. All Rights Reserved.

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