Whether you are new to the field or seasoned compliance professional who want to incorporate the latest strategies, this resource will help you:
- Improve auditing and monitoring with field-tested tools
- Perform more thorough internal investigations with step-by-step processes
- Implement the latest best practices for compliance programs
- Stay current on CMS and OIG regulations affecting compliance
- Respond proactively to new regulatory and industry challenges
- Save time with sample policies and procedures
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
Table of Contents
Introduction
Chapter 1: History and Evolution of Compliance
Chapter 2: OIG Guidance for Compliance Programs
Chapter 3: Key Regulations for Compliance
Chapter 4: Privacy & Security - HIPAA
Chapter 5: Fair Market Value
Chapter 6: Internal Strategies for Best Practices
Chapter 7: The Risk Assessment
Chapter 8: Training Strategies
Chapter 9: Monitoring and Auditing
Chapter 10: Effective Internal Investigations
Who should read The Compliance Officer's Handbook, Third Edition?
- Compliance Officer
- Compliance professional
- Compliance specialist
- CEO and COO of hospitals
- Internal auditor