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
Press Release on "Compliance: Audits and Plans for Healthcare"
For a copy of this publication contact Debbie Frost
at Murer Consultants, Inc. (815) 727-3355.
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