Healthcare Compliance Auditor The Comprehensive Guide

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Healthcare Compliance Auditor - The Comprehensive Guide

Author : Viruti Shivan
Publisher : Independently Published
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.8/5 (735 download)

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Book Synopsis Healthcare Compliance Auditor - The Comprehensive Guide by : Viruti Shivan

Download or read book Healthcare Compliance Auditor - The Comprehensive Guide written by Viruti Shivan and published by Independently Published. This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Healthcare Compliance Auditor: The Comprehensive Guide" is an essential resource for professionals in the field of healthcare compliance and auditing. This in-depth book offers a thorough exploration of the complex world of healthcare regulations, providing readers with the knowledge and tools necessary to conduct effective and ethical compliance audits. It covers a wide range of topics including federal and state healthcare laws, risk assessment, auditing techniques, and the latest in compliance strategies. Key features of this guide include detailed explanations of healthcare laws such as HIPAA, HITECH, and the Affordable Care Act, as well as practical guidance on conducting audits, identifying risks, and implementing compliance programs. The book is designed to help both new and experienced auditors to develop a comprehensive understanding of the healthcare compliance landscape and to stay abreast of the evolving regulatory environment. Please note that this book contains no images or illustrations for copyright purposes, focusing solely on providing high-quality, text-based content. Whether you're a novice stepping into the world of healthcare auditing or a seasoned professional seeking to enhance your knowledge and skills, this book is an invaluable resource for ensuring compliance and upholding ethical standards in healthcare.

Complete Healthcare Compliance Manual 2021

Author :
Publisher :
ISBN 13 : 9781733598750
Total Pages : pages
Book Rating : 4.5/5 (987 download)

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Book Synopsis Complete Healthcare Compliance Manual 2021 by :

Download or read book Complete Healthcare Compliance Manual 2021 written by and published by . This book was released on 2021-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Healthcare Auditor's Handbook

Author : Brian W. Kozik
Publisher : Hcpro Incorporated
ISBN 13 : 9781578397587
Total Pages : 0 pages
Book Rating : 4.3/5 (975 download)

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Book Synopsis Healthcare Auditor's Handbook by : Brian W. Kozik

Download or read book Healthcare Auditor's Handbook written by Brian W. Kozik and published by Hcpro Incorporated. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Healthcare Compliance Professional's Guide to Policies and Procedures

Author : Richard P. Kusserow
Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781601461728
Total Pages : 0 pages
Book Rating : 4.4/5 (617 download)

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Book Synopsis The Healthcare Compliance Professional's Guide to Policies and Procedures by : Richard P. Kusserow

Download or read book The Healthcare Compliance Professional's Guide to Policies and Procedures written by Richard P. Kusserow and published by Hcpro, a Division of Simplify Compliance. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ready-made compliance policies and procedures that you can adapt to your facility. Policies and procedures are the backbone of any compliance program. Compliance professionals must ensure that their policies and procedures are effective and up to date. To ensure effectiveness, the OIG expects hospitals to regularly re-evaluate their policies and procedures. Insight from a former Inspector General The Healthcare Compliance Professional's Guide to Policies and Procedures is written by former Inspector General Richard P. Kusserow. He has filled this book with sample policies and procedures that hospitals can use to strengthen their existing compliance program or help build a new one. Customize your program immediately The Healthcare Compliance Professional's Guide to Policies and Procedures provides the easy-to-use policies and procedures you need to ensure that your compliance program runs efficiently and smoothly. With these tools you will be able to: Implement proven, effective policies and procedures by using the sample templates provided Instruct staff with easy-to-comprehend instructions regarding policy and procedure development Identify best practices for policy and procedure development that are most likely to pass OIG investigation Ensure your policies are up to date with all legislation passed through the beginning of 2008 All of these sample policies and procedures can be used right away. Download our sample policies directly from the companion CD-ROM. You can then customize each document to fit your specific situation. It's that easy to develop a proven, effective set of policies and procedures! Take a look at the table of contents to see the variety of sample policies and procedures you will receive with The Healthcare Compliance Professional's Guide to Policies and Procedures: Compliance program oversight policies and procedures Compliance officer duties and responsibilities Confidentiality agreements Compliance officer and legal counsel protocol Records management Standards of conduct Ethics Compliance education and training Billing and coding policies Accurate coding Observation status Accurate documentation Prohibition of fraudulent and abusive billing Medicare's "incident to" rule Charity/uninsured care Medical necessity How to check for medical necessity ABN use for items and services that do not meet medical necessity Conflicts of interest agreements Gifts Vendor relationships Discounts/professional courtesies Reporting compliance problems Hotline use Hotline auditing Responses to complaints Nonretaliation policy (whistleblower protection) Auditing and monitoring Procedures for documenting auditing and monitoring Standards for auditing and monitoring Policies specific to laws and regulations Stark Anti-kickback statute False Claims Act Deficit Reduction Act EMTALA HIPAA Other risk areas Quality of care Clinical trials

The Health Care Compliance Professional's Manual

Author : Hcca
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

Health Care Compliance Professional's Manual

Author : Wolters Kluwer and the American Health Law Association
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

The Compliance Officer's Handbook, Third Edition

Author : Robert A. Wade
Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781615693498
Total Pages : 0 pages
Book Rating : 4.6/5 (934 download)

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Book Synopsis The Compliance Officer's Handbook, Third Edition by : Robert A. Wade

Download or read book The Compliance Officer's Handbook, Third Edition written by Robert A. Wade and published by Hcpro, a Division of Simplify Compliance. This book was released on 2014-04-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Compliance Officer's Handbook, Third Edition, gives compliance officers everything they need to take charge of a healthcare compliance program, whether they are new to the field or seasoned professionals who want to incorporate the latest strategies. Packed with legal insights from two experts on the latest OIG regulations, this handbook delivers tools, practical examples, and interpretations to build and maintain programs consistent with best practices for risk assessment, HIPAA compliance, training, monitoring, and auditing for compliance, and a host of other organizational responsibilities. ... 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.

Safety, Health, and Environmental Auditing

Author : Simon Watson Pain
Publisher : CRC Press
ISBN 13 : 1439829489
Total Pages : 232 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Safety, Health, and Environmental Auditing by : Simon Watson Pain

Download or read book Safety, Health, and Environmental Auditing written by Simon Watson Pain and published by CRC Press. This book was released on 2010-04-26 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Even though most organizations have extensive safety, health, and environmental protocols in place, things often go wrong. Having good quality instructions is only half the battle. An equally crucial part of a good quality process is auditing, the step that ensures compliance with the procedures. Safety, Health, and Environmental Auditing

Clinical Trials Audit Preparation

Author : Vera Mihajlovic-Madzarevic
Publisher : John Wiley & Sons
ISBN 13 : 0470920882
Total Pages : 186 pages
Book Rating : 4.4/5 (79 download)

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Book Synopsis Clinical Trials Audit Preparation by : Vera Mihajlovic-Madzarevic

Download or read book Clinical Trials Audit Preparation written by Vera Mihajlovic-Madzarevic and published by John Wiley & Sons. This book was released on 2010-09-29 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: A must-have guide for any professional in the drug manufacturing industry The Good Clinical Practice (GCP) audit is a tedious but necessary exercise that assures that all parties do their job properly and in compliance with the applicable FDA code. Clinical Trials Audit Preparation demystifies the audit process for all parties involved, including clinical research sponsors, clinical investigators, and institutional review boards. This book provides a step-by-step explanation of the FDA audit procedures for clinical trials and of how pharmaceutical companies, clinical investigators, and institutional review boards should prepare for regulatory audits. The book emphasizes the processes and procedures that should be implemented before a clinical audit occurs, making this an imperative guide to any professional in the drug manufacturing industry, including drug manufacturing companies, regulatory affairs personnel, clinical investigators, and quality assurance professionals. Among the topics discussed: Good Clinical Practices and therapeutic product development in clinical research The roles of the sponsor of a clinical investigation, the IRB, or independent ethics committee The roles and responsibilities of the clinical trial investigator The inspection preparation The Audit Report and the Form 483 Warning letters issued to clinical investigators and clinical trial sponsors and their impact on product development

Electronic Health Records

Author : Rebecca S. Busch
Publisher : John Wiley & Sons
ISBN 13 : 0470399465
Total Pages : 256 pages
Book Rating : 4.4/5 (73 download)

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Book Synopsis Electronic Health Records by : Rebecca S. Busch

Download or read book Electronic Health Records written by Rebecca S. Busch and published by John Wiley & Sons. This book was released on 2008-12-15 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Electronic Health Records: An Audit and Internal Control Guide describes the infrastructure of electronic health records and the impact that the government's new criteria will have on the private and public marketplace. Understand what to look for in a health care record management system and find tips and helpful guidance for implementation. If you are trying to facilitate an audit of a health record management system, you can apply the example described in the model, which will serve as a timely model and invaluable resource.

Compliance

Author : Cherilyn G. Murer
Publisher : McGraw-Hill Professional Publishing
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Compliance by : Cherilyn G. Murer

Download or read book Compliance written by Cherilyn G. Murer and published by McGraw-Hill Professional Publishing. This book was released on 1998 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Healthcare Financial Management Series. Practical and legal guide for financial managers and other healthcare professionals on how to create and manage a corporate compliance program. Topics included: principals of corporate criminal liability, compliance programs and the U.S. sentencing guidelines, and model programs.

HIPAA Compliance Officer - The Comprehensive Guide

Author : VIRUTI SHIVAN
Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 225 pages
Book Rating : 4./5 ( download)

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Book Synopsis HIPAA Compliance Officer - The Comprehensive Guide by : VIRUTI SHIVAN

Download or read book HIPAA Compliance Officer - The Comprehensive Guide written by VIRUTI SHIVAN and published by Viruti Satyan Shivan. This book was released on with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an era where data breaches and privacy concerns are rampant, "HIPAA Compliance Officer - The Comprehensive Guide" emerges as the essential beacon for professionals navigating the complex landscape of healthcare information privacy and security. This guide is meticulously designed to arm you with the knowledge, strategies, and insights necessary to excel in the role of a HIPAA Compliance Officer, ensuring the confidentiality, integrity, and availability of protected health information (PHI). Without relying on images or illustrations, this book dives deep into the essence of HIPAA regulations, offering clear, actionable guidance and real-world applications that transcend theoretical knowledge. Beyond mere compliance checklists, this comprehensive resource delves into the intricacies of developing robust privacy and security programs, managing risk assessments, and fostering a culture of compliance within healthcare organizations. Each chapter is crafted to unravel the complexities of HIPAA provisions, making them accessible and actionable for professionals at all levels. Whether you're new to the field or seeking to enhance your expertise, this book stands out as a must-buy, offering unparalleled insights and practical advice that equip you to tackle the challenges of HIPAA compliance with confidence and proficiency.

Medical Record Auditor

Author : Deborah J. Grider
Publisher : American Medical Association Press
ISBN 13 : 9781622021017
Total Pages : 0 pages
Book Rating : 4.0/5 (21 download)

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Book Synopsis Medical Record Auditor by : Deborah J. Grider

Download or read book Medical Record Auditor written by Deborah J. Grider and published by American Medical Association Press. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing in-depth guidance for proper review of medical documentation in today's changing medical environment, this fourth edition of the Medical Record Auditor is full of new content. New topics include electronic health records (EHR), ICD-10 coding, Health Information Management and many other issues essential for maintaining compliance. Learn critical auditing fundamentals, read dozens of case studies, use the checkpoint exercises to test your knowledge, and download actual audit forms to help improve your process. Features and Benefits - New content addresses EHRs, ICD-10 coding and more - Downloadable forms. One copy of each audit form is included, but all forms are downloadable from website - Case studies. Ten different specialties are featured with more than 80 total case studies - Checkpoint exercises. Test your knowledge to confirm comprehension of new content

The Compliance Officer's Handbook

Author : Robert A. Wade
Publisher : HC Pro, Inc.
ISBN 13 : 1601465637
Total Pages : 133 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The Compliance Officer's Handbook by : Robert A. Wade

Download or read book The Compliance Officer's Handbook written by Robert A. Wade and published by HC Pro, Inc.. This book was released on 2009-04 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: The tools and information you need to lead a comprehensive compliance program. This revised edition is packed with even more practical tools, case studies, tips and tools, sample audits, and sample policies and procedures to help you construct a comprehensive program and meet new regulatory and industry requirements. All of these tools and strategies have been created, tested, and proven by professionals in the field.

Guide to Professional Development in Compliance

Author : Jan Christian Heller
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834218741
Total Pages : 308 pages
Book Rating : 4.2/5 (187 download)

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Book Synopsis Guide to Professional Development in Compliance by : Jan Christian Heller

Download or read book Guide to Professional Development in Compliance written by Jan Christian Heller and published by Jones & Bartlett Learning. This book was released on 2001 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Government enforcement initiatives are changing the face of health care, forcing the creation of compliance programs in all types of health care facilities. As a result, thousands of new positions for compliance professionals and personnel have emerged, and in fact the compliance profession has begun to differentiate itself within the health care industry. The first book to address this new profession, The Guide to Professional Development in Compliance will be an essential resource for anyone planning to enter or already working in a compliance role. Assuming the role of a compliance officer brings not just technical challenges For The design and implementation of a program, but also tremendous management responsibilities and needs for performance measurement guidance, role clarification and career advancement strategies. Each of these important issues will be addressed by experts in the field, who will provide detailed, practical guidance. Illustrating the discussions in each chapter are relevant case studies, historical examples, or experiences of the authors.

The Handbook of Patient Safety Compliance

Author : Fay A. Rozovsky
Publisher : John Wiley & Sons
ISBN 13 : 1119386357
Total Pages : 283 pages
Book Rating : 4.1/5 (193 download)

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Book Synopsis The Handbook of Patient Safety Compliance by : Fay A. Rozovsky

Download or read book The Handbook of Patient Safety Compliance written by Fay A. Rozovsky and published by John Wiley & Sons. This book was released on 2016-12-05 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for virtually every professional and leader in the health care field, as well as students who are preparing for careers in health services delivery, this book presents a framework for developing a patient safety program, shows how best to examine events that do occur, and reveals how to ensure that appropriate corrective and preventative actions are reviewed for effectiveness. The book covers a comprehensive selection of topics including The link between patient safety and legal and regulatory compliance The role of accreditation and standard-setting organizations in patient safety Failure modes and effect analysis Voluntary and regulatory oversight of medical error Evidence-based outcomes and standards of care Creation and preservation of reports, data, and device evidence in medical error situations Claims management when dealing with patient safety events Full disclosure Patient safety in human research Managing confidentiality in the face of litigation Managing patient safety compliance through accountability-based credentialing for health care professionals Planning for the future

Cooperative Compliance

Author : Jeffrey Owens
Publisher : Kluwer Law International B.V.
ISBN 13 : 9403531940
Total Pages : 152 pages
Book Rating : 4.4/5 (35 download)

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Book Synopsis Cooperative Compliance by : Jeffrey Owens

Download or read book Cooperative Compliance written by Jeffrey Owens and published by Kluwer Law International B.V.. This book was released on 2021-08-18 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: National taxation authorities around the world are rapidly improving international cooperation, given the unprecedented triple impact of persistent revelations of large-scale corporate tax avoidance, the ever-increasing intricacies of digital cross-border transactions, and the unprecedented revenue deficits engendered by the COVID-19 pandemic. There is also a growing recognition that improving tax compliance needs to be reconciled with a legitimate desire on the part of businesses to have some certainty about their taxes. Cooperative compliance is one way to achieve that. This first analysis of the details of cooperative compliance programmes currently in operation describes tax control frameworks, suggests practical examples to assist practitioners in tax administrations and the private sector, and provides multiple perspectives on the design and legitimacy of such programmes. Drawing on detailed information contributed by tax practitioners and academics from a wide range of jurisdictions worldwide, the book identifies and explains certain crucial elements of successful programmes: the criteria for access to cooperative compliance (e.g., is the programme voluntary or mandatory? Is there a financial threshold? Will the criteria be publicly available?); model legislation that can facilitate the operation of such programmes (statutory provisions, administrative rules and procedures, etc.); the foundations for an international agreement on an audit assurance standard for tax control frameworks (including the role of the Organisation for Economic Co-operation and Development (OECD), the European Union (EU), and other international organizations); how to develop a methodology to measure the cost and benefits of cooperative compliance programmes; detailed case studies of existing compliance programmes in Australia, Austria, China, Germany, Italy, Poland, and Russia; and how to communicate a cooperative compliance programme to obtain trust from society. The analysis draws on two years of work led by WU Global Tax Policy Center (GTPC) at Vienna University of Economics and Business in cooperation with the International Chamber of Commerce (ICC) and the Commonwealth Association of Tax Administrators (CATA). The project brought together over two hundred people from 25 countries, including public officials, businesses, and academics. Tax certainty and predictability are key components for providing a tax environment that is conducive to cross-border trade and investment, and, in the long term, it is in the interest of both governments and businesses to minimize tax uncertainty as much as possible. This truly helpful book promises to pave the way to an internationally effective tax framework that will be welcomed by taxation authorities and practitioners worldwide.