Compliance: Audits and Plans for Healthcare

Cherilyn G. Murer, J.D., C.R.A.
Michael A. Murer, J.D.
Lyndean Lenhoff Brick, J.D.

Co-published with the Healthcare Financial Management Association

325 pages with diskette
ISBN: 0-07044-462-5
$75.00
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Compliance: Audits and Plans for Healthcare" is a practical and legal guide in establishing compliance plans, programs and demonstrating what the criterion is for fraud and abuse. The book assists you in implementing protocols to determine where the problems exist, to minimize such problems and to eliminate them where they can occur. Also, the book explains what the federal, anti-referral Medicare fraud laws are and how violations can lead to bankruptcy and sentencing. This book discuss:

Government procurement violations
Safe harbor audits
Pre plan audits
Consent decrees

Table of Contents
Chapter I - History of Compliance
- Introduction
- Other Industries Examples
Chapter II - Healthcare Compliance Today
- Why Compliance Programs Necessary
- Major Trends, Cases
- OIG-Operation Restore Trust
Chapter III - Repository of all laws
Chapter IV - Sentencing Guidelines
Chapter V - The Compliance Process
- Conducting the Audit
- The Compliance Program
Chapter VI - Designing the Compliance Program
- Forms, Policies, and Procedures
- Training
- Outgoing Monitoring
Chapter VII - Dealing with Potential Violations of the Law
Chapter VIII - The Role of the Compliance Officer
Appendix A - Federal Law and Regulatory Sections
Appendix B - The Federal Sentencing Guidelines
Appendix C - Consent Decrees
Appendix D - Model Compliance Programs
Appendix E - Miscellaneous Materials
Appendix F - Glossary of Terms

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For a copy of this publication contact Debbie Frost at Murer Consultants, Inc. (815) 727-3355.