Description
Book SynopsisManaging several staff members and keeping a health care practice compliant with federal, state, and local statutes and regulations is a challenging job. This book helps you understand how a formal compliance program is implemented at a health care facility.
Trade ReviewChapter 1: Introduction in Compliance Chapter 2: Introduction to Law and Ethics Chapter 3: Government Enforcement Agencies, Statutes and Initiatives Chapter 4: The Legal Medical Record Chapter 5: The National Health Information Infrastructure (NHII) Chapter 6: OIG: Understanding the Basics V Fraud and Abuse Prevention and Detection Chapter 7: OIG: Protecting the Claims Payment Processes of the Government Payers Chapter 8: OIG: Practical Management of Coding Compliance Chapter 9: OIG: Practical Management of the Reimbursement Process Chapter 10: HIPAA: Understanding the Basics V Streamlining Processing and Protecting Health Information Chapter 11: HIPAA: Electronic Transactions, Code Sets and Unique Identifiers Chapter 12: HIPAA: Privacy Regulations Chapter 13: HIPAA: Security Regulations Chapter 14: Hands on HIPAA: Compliant EDI Chapter 15: Hands on HIPAA: Compliant Communications and Administrative Chapter 16: Hands on HIPAA: Compliant Information Systems Chapter 17: Hands on HIPAA: Staff Training and Education Chapter 18: Hands on HIPAA: The Role of the Business Associate Chapter 19: Building the Compliance Program Chapter 20: Auditing and Monitoring Healthcare Compliance Practices APPENDICES A. Job Descriptions B. Forms and Checklists C. Glossary of Terms D. Matrix for Policies and Procedures E. Web links F. Sample Training Modules for Employees
Table of Contents1. Introduction to Compliance Programs. 2. The Compliance Officer. 3. Components of an Effective Compliance Program. 4. Legal and Ethical Considerations. 5. Compliance. Patient Consent. 6. Compliance. Documentation. 7. Compliance Reporting. 8. Creating Policies and Procedures. 9. Education and Training. 10. The Internal Audit. 11. External Audits. 12. Keeping the Program Current. 13. Enforcement. Dealing with Non-Compliance. Appendix A. Health Care Compliance Association (HCCA) Certified in Healthcare Compliance (CHC) Examination. Appendix B. Abbreviations and Acronyms. Appendix C. Professional Associations. Appendix D. Professional Designations. Appendix E. Reference Websites. Glossary. Index.
