AHLA Healthcare Compliance Legal Issues Manual (Non-Members)

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Publisher :
ISBN 13 : 9781632816436
Total Pages : pages
Book Rating : 4.8/5 (164 download)

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Book Synopsis AHLA Healthcare Compliance Legal Issues Manual (Non-Members) by :

Download or read book AHLA Healthcare Compliance Legal Issues Manual (Non-Members) written by and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: As the world of health care compliance continues to evolve, so do the potential ramifications for everyone in the healthcare arena. State and federal governmental agencies continue to pursue large recoveries through litigation and settlements against those who don't have effective compliance plans. In fact, the Federal Government announced it had recovered over $4 billion from healthcare providers for Medicare and Medicaid fraud in 2010 alone.This new edition of Health Care Compliance Legal Issues Manual provides a comprehensive overview of the legal issues that create the foundation for healthcare compliance programs, and affect every aspect of these programs. The Manual addresses important topics such as what a compliance program is, how to conduct internal investigations, audit basics, what to consider prior to deciding on repayments and disclosures, substantive overviews of the false claims act, the Stark and Anti-kickback laws, HIPAA privacy and security, issues in life sciences entities, tax compliance, and many othersHighlights of this new edition include:A discussion of the Sunshine Act's reporting requirements for drug and device companiesHHS' Healthy People 2020 initiativeAnalysis of the fraud and abuse provisions in the Patient Protection and Affordable Care Act (ACA)Compliance program requirements for all providers and suppliers as a condition of enrollment in MedicareChanges to the Federal Sentencing GuidelinesNew HIPAA security and privacy enforcement measuresSarbanes-Oxley compliance standards

AHLA Health Care Compliance Legal Issues Manual (Non-members)

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Publisher :
ISBN 13 : 9781522173441
Total Pages : pages
Book Rating : 4.1/5 (734 download)

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Book Synopsis AHLA Health Care Compliance Legal Issues Manual (Non-members) by : American Health Lawyers Association

Download or read book AHLA Health Care Compliance Legal Issues Manual (Non-members) written by American Health Lawyers Association and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by experts with years of health care compliance experience, this new edition integrates changes in regulation, trends in enforcement, and the reasoning of the courts to help you navigate emerging and unsettled areas of compliance risk, such as self-disclosure obligations, risks associated with opioid use, and the impact of statistical sampling.Highlights of this edition include:All new glossary of health care compliance terms, including key statutes, acronyms, governing agencies, and moreExpanded civil monetary penalty and exclusion authorities under 2017 final rulesDiscussion of core elements of compliance programs for Medicare Advantage Plans and Part D Plans as established by federal regulationsExpanded whistleblower protections under federal and state law, false claims based on lack of medical necessity, materiality after Escobar, and recent enforcement activityExpanded discussion of determinations of medical necessity, CMS review of medical necessity terminations, consequences, and appeals processesRecent health information privacy and security developments, including new guidance, risks associated with innovative technologies, and trends in Health Insurance Portability and Accountability Act (HIPAA) enforcement activityNew chapters:Chapter 1, Glossary of Key TermsChapter 10, The Relationship between Enforcement and ComplianceChapter 17, Health Care Civil Rights and Nondiscrimination Under Section 1557 of the Affordable Care ActChapter 19, Behavioral Health

AHLA Healthcare Compliance Legal Issues Manual (AHLA Members)

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Author :
Publisher :
ISBN 13 : 9781632816429
Total Pages : pages
Book Rating : 4.8/5 (164 download)

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Book Synopsis AHLA Healthcare Compliance Legal Issues Manual (AHLA Members) by :

Download or read book AHLA Healthcare Compliance Legal Issues Manual (AHLA Members) written by and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: As the world of health care compliance continues to evolve, so do the potential ramifications for everyone in the healthcare arena. State and federal governmental agencies continue to pursue large recoveries through litigation and settlements against those who don't have effective compliance plans. In fact, the Federal Government announced it had recovered over $4 billion from healthcare providers for Medicare and Medicaid fraud in 2010 alone.This new edition of Health Care Compliance Legal Issues Manual provides a comprehensive overview of the legal issues that create the foundation for healthcare compliance programs, and affect every aspect of these programs. The Manual addresses important topics such as what a compliance program is, how to conduct internal investigations, audit basics, what to consider prior to deciding on repayments and disclosures, substantive overviews of the false claims act, the Stark and Anti-kickback laws, HIPAA privacy and security, issues in life sciences entities, tax compliance, and many othersHighlights of this new edition include:A discussion of the Sunshine Act's reporting requirements for drug and device companiesHHS' Healthy People 2020 initiativeAnalysis of the fraud and abuse provisions in the Patient Protection and Affordable Care Act (ACA)Compliance program requirements for all providers and suppliers as a condition of enrollment in MedicareChanges to the Federal Sentencing GuidelinesNew HIPAA security and privacy enforcement measuresSarbanes-Oxley compliance standards

Health Care Compliance Legal Issues Manual

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Publisher :
ISBN 13 : 9781422488829
Total Pages : 455 pages
Book Rating : 4.4/5 (888 download)

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Book Synopsis Health Care Compliance Legal Issues Manual by : Harry R. Silver

Download or read book Health Care Compliance Legal Issues Manual written by Harry R. Silver and published by . This book was released on 2011 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pharmaceutical and Medical Device Compliance Manual

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Publisher :
ISBN 13 : 9781522178026
Total Pages : 319 pages
Book Rating : 4.1/5 (78 download)

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Book Synopsis Pharmaceutical and Medical Device Compliance Manual by : Ela Bochenek

Download or read book Pharmaceutical and Medical Device Compliance Manual written by Ela Bochenek and published by . This book was released on 2019 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: A robust compliance program is essential to protecting a company from running afoul of the myriad laws and regulations that have been enacted to combat fraud and waste. The second edition of the Pharmaceutical and Medical Device Compliance Manual includes guidance to help companies develop a compliance program tailored to today's complex enforcement and business environment. Study of this Manual will enable compliance professionals and lawyers to understand the government's expectations of an effective compliance program and ethical business practices, as well as: how the government discovers potential enforcement actions, its approach to pursuing such actions, what behaviors can constitute mitigating factors for a company in the event of a legal violation. Coverage includes new chapters covering:Pharmaceutical industry interactions with patient organizations Compliance 2.0: compliance analytics in the era of big dataThe art and science of health care compliance in the pharmaceutical and medical device industries The Manual will be a great tool for health and life sciences attorneys, compliance officers, and others in the pharmaceutical and medical devices industry

Health Care Compliance Professional's Manual

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Publisher : Aspen Publishers
ISBN 13 : 9781543822892
Total Pages : 1654 pages
Book Rating : 4.8/5 (228 download)

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Book Synopsis Health Care Compliance Professional's Manual by : Wolters Kluwer and the American Health Law Association 

Download or read book Health Care Compliance Professional's Manual written by Wolters Kluwer and the American Health Law Association  and published by Aspen Publishers. This book was released on 2020-03-10 with total page 1654 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Care Compliance Professional's Manual is one of the most vital, long-standing, and best known resources in the world of health care compliance. It has all the tools you and your compliance team need to plan and execute a customized compliance program. This new edition is filled with industry best practices, sample forms, policies, procedures, and much more to save you time and comply with federal standards. The Health Care Compliance Professional's Manual will help you to: Use OIG publications and Federal Sentencing Guidelines to plan and execute a customized compliance strategy that meets tough federal standards and minimizes enforcement risks Oversee physician compensation and referrals Perform risk assessments using matrixes with step-by-step instructions to pinpoint areas that pose compliance and operational risks Draft compliance policies that form the foundation for a strong compliance program Build a strong infrastructure reinforced by industry best practices Create an effective education and training program that instills in employees the importance of legal compliance Implement a privacy and security plan that ensures patient information is protected Stay up-to-date on the latest legal and state and federal regulatory requirements affecting your facility, in areas such as HIPAA, EMTALA, fraud and abuse, reimbursement, privacy, security, patient safety, and clinical research Study for CCB(R) Certification in Healthcare Compliance (CHC) Packed with tools to make your job easier and more efficient, The Health Care Compliance Professional's Manual will provide: Practical coverage of federal and state laws governing your facility Insight into helpful federal standards on effective compliance programs Step-by-step guidance on implementing a sound compliance program Examples of common risk areas and how to handle them Time savings and peace of mind from sample policies, checklists and forms from members of the American Health Law Association (AHLA) The Health Care Compliance Professional's Manual will help you protect your company if violations do occur: Learn how to apply auditing, monitoring, and self-assessment techniques for conducting internal investigations Discover how to successfully follow the OIG's voluntary disclosure program to resolve overpayment problems and avoid exclusion from Medicare Find out how to enter into a corporate integrity agreement to settle with the federal government and mitigate FCA-related penalties Document your compliance efforts so you leave a protective paper trail that shields you from liability And much more Previous Edition: Health Care Compliance Professional's Manual, Second Edition ISBN: 9781543813265 SKU: 10071961-7777

Health Care Transactions Manual

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Publisher :
ISBN 13 : 9780769865638
Total Pages : 0 pages
Book Rating : 4.8/5 (656 download)

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Book Synopsis Health Care Transactions Manual by : Kim Harvey Looney

Download or read book Health Care Transactions Manual written by Kim Harvey Looney and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Compliance Legal Issues Manual

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Author :
Publisher :
ISBN 13 : 9781522173434
Total Pages : 735 pages
Book Rating : 4.1/5 (734 download)

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Book Synopsis Health Care Compliance Legal Issues Manual by : American Health Lawyers Association

Download or read book Health Care Compliance Legal Issues Manual written by American Health Lawyers Association and published by . This book was released on 2019 with total page 735 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by experts with years of health care compliance experience, this new edition integrates changes in regulation, trends in enforcement, and the reasoning of the courts to help you navigate emerging and unsettled areas of compliance risk, such as self-disclosure obligations, risks associated with opioid use, and the impact of statistical sampling.Highlights of this edition include:All new glossary of health care compliance terms, including key statutes, acronyms, governing agencies, and moreExpanded civil monetary penalty and exclusion authorities under 2017 final rulesDiscussion of core elements of compliance programs for Medicare Advantage Plans and Part D Plans as established by federal regulationsExpanded whistleblower protections under federal and state law, false claims based on lack of medical necessity, materiality after Escobar, and recent enforcement activityExpanded discussion of determinations of medical necessity, CMS review of medical necessity terminations, consequences, and appeals processesRecent health information privacy and security developments, including new guidance, risks associated with innovative technologies, and trends in Health Insurance Portability and Accountability Act (HIPAA) enforcement activityNew chapters:Chapter 1, Glossary of Key TermsChapter 10, The Relationship between Enforcement and ComplianceChapter 17, Health Care Civil Rights and Nondiscrimination Under Section 1557 of the Affordable Care ActChapter 19, Behavioral Health

Antitrust and Health Care

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Publisher :
ISBN 13 : 9781522135210
Total Pages : 750 pages
Book Rating : 4.1/5 (352 download)

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Book Synopsis Antitrust and Health Care by : Christine L. White (Lawyer)

Download or read book Antitrust and Health Care written by Christine L. White (Lawyer) and published by . This book was released on 2017 with total page 750 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Risk Management Handbook for Health Care Organizations

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Publisher : John Wiley & Sons
ISBN 13 : 0470300175
Total Pages : 672 pages
Book Rating : 4.4/5 (73 download)

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Book Synopsis Risk Management Handbook for Health Care Organizations by : American Society for Healthcare Risk Management (ASHRM)

Download or read book Risk Management Handbook for Health Care Organizations written by American Society for Healthcare Risk Management (ASHRM) and published by John Wiley & Sons. This book was released on 2009-04-27 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt: Risk Management Handbook for Health Care Organizations, Student Edition This comprehensive textbook provides a complete introduction to risk management in health care. Risk Management Handbook, Student Edition, covers general risk management techniques; standards of health care risk management administration; federal, state and local laws; and methods for integrating patient safety and enterprise risk management into a comprehensive risk management program. The Student Edition is applicable to all health care settings including acute care hospital to hospice, and long term care. Written for students and those new to the topic, each chapter highlights key points and learning objectives, lists key terms, and offers questions for discussion. An instructor's supplement with cases and other material is also available. American Society for Healthcare Risk Management (ASHRM) is a personal membership group of the American Hospital Association with more than 5,000 members representing health care, insurance, law, and other related professions. ASHRM promotes effective and innovative risk management strategies and professional leadership through education, recognition, advocacy, publications, networking, and interactions with leading health care organizations and government agencies. ASHRM initiatives focus on developing and implementing safe and effective patient care practices, preserving financial resources, and maintaining safe working environments.

Healthcare Compliance Legal Issues Manual

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Publisher :
ISBN 13 : 9780918945860
Total Pages : 296 pages
Book Rating : 4.9/5 (458 download)

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Book Synopsis Healthcare Compliance Legal Issues Manual by :

Download or read book Healthcare Compliance Legal Issues Manual written by and published by . This book was released on 2001 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:

AHLA Representing Physicians Handbook (AHLA Members)

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Publisher :
ISBN 13 : 9781522100225
Total Pages : pages
Book Rating : 4.1/5 (2 download)

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Book Synopsis AHLA Representing Physicians Handbook (AHLA Members) by :

Download or read book AHLA Representing Physicians Handbook (AHLA Members) written by and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Health Lawyers Association is pleased to bring you the Fourth Edition of our best selling Representing Physicians Handbook.Since the Third Edition was published, there has been continued expansion of the healthcare laws and regulations applicable to physicians. This updated edition of the Handbook addresses the issues that confront those who represent physicians in the increasingly complex physician practice world. The authors have provided their expertise to provide insight and guidance on issues of compliance, business, reimbursement, and many other issues.The eBook versions of this title feature links to Lexis Advance for further legal research options.

Telehealth Law Handbook

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Publisher :
ISBN 13 : 9781663356970
Total Pages : 0 pages
Book Rating : 4.3/5 (569 download)

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Book Synopsis Telehealth Law Handbook by : Jennifer R. Breuer

Download or read book Telehealth Law Handbook written by Jennifer R. Breuer and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Health Care Compliance Professional's Manual

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Author :
Publisher : Aspen Publishers
ISBN 13 : 9780735570382
Total Pages : 1080 pages
Book Rating : 4.5/5 (73 download)

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Book Synopsis The Health Care Compliance Professional's Manual by : Hcca

Download or read book The Health Care Compliance Professional's Manual written by Hcca and published by Aspen Publishers. This book was released on 2007 with total page 1080 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Care Compliance Professional's Manual gives you all the tools you need to plan and execute a customized compliance program that meets federal standards. It walks you through the entire process, start to finish, showing you how to draft compliance policies, build a strong compliance infrastructure in your organization, document your efforts, apply self-assessment techniques, create an effective education program, pinpoint areas of risk, conduct internal probes and much more. The Health Care Compliance Professional's Manual is used by the Health Care Compliance Association (HCCA) as the basic text for its Compliance Academy - the program that prepares compliance professionals for the CHC (Certificate in Healthcare Compliance) certification exam. The Health Care Compliance Professional's Manual will help you to: Use OIG publications and Federal Sentencing Guidelines to help plan and execute a customized compliance strategy that meets tough federal standards Perform risk assessment to pinpoint areas within your company that pose compliance and operational risks Draft compliance policies that form the foundation for a strong compliance program Build a strong infrastructure for compliance to work, including hiring the right personnel Create an effective education and training program that instills in employees the value of legal compliance Conduct internal probes that uncover legal violations before the federal government does - and mitigate possible penalties Stay up-to-date on all the latest legal and regulatory requirements affecting your facility, including HIPAA, EMTALA, fraud and abuse reimbursement, privacy, security, patient safety and much more! Packed with tools to make your job easier, The Health Care Compliance Professional's Manual will provide: Practical coverage of federal and state laws governing your facility Document efforts and apply self assessment techniques Insight into helpful federal standards on effective compliance programs Step-by-step guidance on implementing a sound compliance program Time-saving sample compliance policies, forms, checklists, and chart The Health Care Compliance Professional's Manual will protect your company if violations do occur: Learn how to apply auditing, monitoring, and self-assessment techniques Discover how to successfully follow the OIG's voluntary disclosure program to resolve overpayment problems and avoid exclusion from Medicare Find out how to enter into a corporate integrity agreement to settle with the federal government and mitigate FCA-related penalties Document your compliance efforts so you leave a protective paper trail that shields you from liability And much more

AHLA Legal Issues in Health Care Fraud and Abuse (AHLA Members)

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Author :
Publisher :
ISBN 13 : 9780769881591
Total Pages : pages
Book Rating : 4.8/5 (815 download)

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Book Synopsis AHLA Legal Issues in Health Care Fraud and Abuse (AHLA Members) by : Laura F. Laemmle-Weidenfeld

Download or read book AHLA Legal Issues in Health Care Fraud and Abuse (AHLA Members) written by Laura F. Laemmle-Weidenfeld and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This completely updated fifth edition offers broad coverage of the full range of U.S. fraud and abuse prohibitions, with practical application for your work in health care today. Completely updated to address the latest trends in investigation, enforcement, and interpretations of the law, this edition of Legal Issues in Health Care Fraud and Abuse addresses the sweeping changes seen in the health care industry since the previous edition, with over 600 pages of expert explanations and fully referenced real-world examples.With in-depth coverage of the Anti-Kickback Law, Stark Law, False Claims Act, and more, this book is a necessity for anyone who needs to understand the intricacies of how fraud and abuse laws are structured and enforced in the health care context, providing a foundation for your work in health law:How health care is regulated in the United StatesHow fraud and abuse laws are enforced by federal and state entitiesPractical advice on assessing and addressing riskGuidance on navigating relationships with the agencies and individuals enforcing the law's prohibitionsAs health care and society evolve, so too does fraud and abuse law and governmental enforcement activity. Since the previous edition of this book, the risks relating to fraud and abuse have evolved significantly, for reasons ranging from the proliferation of health care data, to the expansion of the use of technology in health care, to changes in the regulatory scheme resulting from the shift toward value-based payment. Every chapter analyzes the impact of these changes.

BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements

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Author :
Publisher : BVResources
ISBN 13 : 9781621501404
Total Pages : pages
Book Rating : 4.5/5 (14 download)

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Book Synopsis BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements by : Timothy Smith

Download or read book BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements written by Timothy Smith and published by BVResources. This book was released on 2017-11-11 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This new guide challenges and deconstructs the industry's current standard for the fair market value (FMV) of physician clinical compensation based on the exclusive use of survey data and certain percentile-based valuation methods. Itdebunks the current "survey says" paradigm and provides the foundation for a completely new standard for the FMV of physician clinical compensation.

The Complete Compliance Handbook

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Publisher :
ISBN 13 : 9781783583300
Total Pages : 554 pages
Book Rating : 4.5/5 (833 download)

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Book Synopsis The Complete Compliance Handbook by : Thomas Fox

Download or read book The Complete Compliance Handbook written by Thomas Fox and published by . This book was released on 2018-05-05 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thomas Fox, the Compliance Evangelist, is one of the leading writers, thinkers and commentators on the nuts and bolts of compliance. His always practical advice is now available in one volume, The Complete Compliance Handbook. This book incorporates the most recent pronouncements and guidance from the Department of Justice, including 2017's Evaluation of Corporate Compliance Programs and FCPA Corporate Enforcement Policy, to provide the most up-to-date advice on what constitutes a best practices compliance program. In this single volume compendium, Fox brings together the tops ideas, topics and techniques you can incorporate your compliance program, literally in 31-days to more fully operationalize your compliance regime. If you want one volume to guide you in operationalizing compliance, this is it. The book is designed to provide you with a step-by-step guide to the design, creation, implementation of or enhancement to a compliance program. It begins with 31-days to a more effective compliance program. Each entry presents one thing you can accomplish, at little to no cost, to improve any level of compliance program. There are three key-takeaways for each entry. The final chapter goes through the same process for you to operationalize your compliance program. In between these bookends, The Complete Compliance Handbook features chapters on: -Operationalizing Compliance Through Human Resources -The Role of the Board of Directors and Compliance -360-Degrees of Communication in Compliance -Better Third-Party Risk Management -Reporting and Investigations -Internal Controls -Innovation in Compliance -Written Standards -More Effective Compliance for Business Ventures -Continuous Improvement The author, Thomas Fox, has written 15 books on compliance, leadership and business ethics. He founded the Compliance Podcast Network and has one of the largest social media presences in compliance. He has worked in the compliance arena for over 10 years and draws upon his many years of experience in the profession to create this single volume which will become the standard 'nuts and bolts' text on compliance. Fox's writing style is suited for any skill level of compliance practitioner or maturity of corporate compliance program.