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Healthcare Fraud And Abuse Introduction Manual
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Book Synopsis Healthcare Fraud and Abuse Introduction Manual by : Daniel Farb
Download or read book Healthcare Fraud and Abuse Introduction Manual written by Daniel Farb and published by University of Health Care. This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Useful for Doctors, Nurses, Dentists, Therapists, Podiatrists, Osteopaths, Physicians Assistants, Practice Administrators, Compliance Officers, and all Allied Health Professionals, for Medicare, Medicaid, and Private Insurance.
Book Synopsis Health Care Fraud and Abuse Compliance Manual by : Aspen Health Law Center
Download or read book Health Care Fraud and Abuse Compliance Manual written by Aspen Health Law Center and published by Aspen Pub. This book was released on 1997-01 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: An immensely practical resource, Health Care Fraud and Abuse Compliance Manual provides a comprehensive overview of legislative and regulatory restrictions that affect the way health care providers conduct business and how they structure relationships among themselves. This treatise helps providers determine the boundaries of permissible conduct under the myriad statutes and regulations that relate to health care fraud and abuse at both the federal and state levels. Specific coverage includes: The statutory language in the Medicare/Medicaid civil money penalties and false claims statutes The Medicare/Medicaid antikickback statute The Stark "self-referral" law The numerous safe harbors and exceptions contained with these prohibitions And more! This authoritative resource will make you aware of your crucial obligations and options. Each chapter of the Health Care Fraud and Abuse Compliance Manual describes what the law requires, how it applies in a health care context, and what the penalties are for failure to comply. With Health Care Fraud and Abuse Compliance Manual: You'll receive coverage of all the critical laws and considerations, including: false claims and fraudulent billings, civil and criminal penalties, the antikickback statute, the safe harbor regulations, the Stark Law, and state statutes You'll get practical advice on developing a corporate compliance program that can help you stay on the right side of the law You'll learn about the structures, goals, and procedures of agencies that investigate health care fraud You'll get an in-depth understanding of what goes into a fraud and abuse investigation - and how you can respond to an investigation to best defend your organization And much, much more! Health Care Fraud and Abuse Compliance Manual has been updated to include: Updated nationwide health care fraud and abuse enforcement statistics OIG Work Plan for FY 12 (Medicaid projects) Enforcement actions involving billing for services of unlicensed personnel Enforcement actions involving billing without proper documentation Enforcement actions involving illegal inducements to beneficiaries Hospital liability for submission of false cost reports Cases involving maximum hospital liability for EMTALA violations Criminal false claims liability for unsolicited telemarketing by a DME supplier Managed care provider liability for cherry-picking, retaining overpayments, and other practices Hospice liability for providing services to ineligible patients Pharmaceutical manufacturer liability for pricing-related false claims violations Enforcement actions involving federal research grant fraud Criminal kickback liability for sham consulting arrangements Self-referral liability for office lease agreements and independent contractor relationships inconsistent with fair market value or not memorialized in writing Updated Medicaid Fraud Control Unit performance standards (MFCU) False claims laws of Massachusetts, Montana, and Nevada OIG evaluation of Massachusetts, Montana, and Nevada false claims laws
Book Synopsis Healthcare Fraud by : Rebecca S. Busch
Download or read book Healthcare Fraud written by Rebecca S. Busch and published by John Wiley & Sons. This book was released on 2012-05-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud, Second Edition provides tips and techniques to help you spot—and prevent—the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations. Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparency Offers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans Examines the necessary background that internal auditors should have when auditing healthcare activities Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read Healthcare Fraud, Second Edition and get the valuable guidance you need to help combat this critical problem.
Book Synopsis Health Care Fraud and Abuse by : Hoyt W. Torras
Download or read book Health Care Fraud and Abuse written by Hoyt W. Torras and published by American Medical Association Press. This book was released on 2003 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide for physicians covering the legal aspects of health insurance and offers ways to design an effective billing, coding, and accounts receivable process.
Book Synopsis Fraud and Abuse Investigations Handbook for the Health Care Industry by : Paul W. Shaw
Download or read book Fraud and Abuse Investigations Handbook for the Health Care Industry written by Paul W. Shaw and published by . This book was released on 2021 with total page 775 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors examine each stage of a fraud and abuse investigation, beginning with an overview of federal and state enforcement agencies, and concluding with a discussion of the potential collateral consequences of an investigation. They have supplemented their analysis extensively with sample documents, including indictments, requests for records, subpoenas, internal response memoranda, and responses to auditors, prosecutors, and more. Taken together, the materials in this book provide a true Handbook for anyone who needs to quickly and thoroughly understand the complex nature of a government fraud and abuse investigation.-Preface.
Book Synopsis Fraud and Abuse Investigations Handbook for the Healthcare Industry by : Robert A. Griffith
Download or read book Fraud and Abuse Investigations Handbook for the Healthcare Industry written by Robert A. Griffith and published by . This book was released on 2000 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis AHLA Fraud and Abuse Investigations Handbook for the Healthcare Industry (AHLA Members) by :
Download or read book AHLA Fraud and Abuse Investigations Handbook for the Healthcare Industry (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: Understanding the powers, procedures and remedies available to the government during a health care fraud and abuse investigation, and acquiring a basic understanding of the issues and practical steps to employ during an audit or investigation, are keys to surviving the investigation and achieving a favorable outcome.This new Handbook will arm health care administrators, executives, medical directors, office managers, physicians, and medical practice managers with a broad understanding of this industry-specific area of government enforcement. The resource is complete with:Clear and concise explanations of the lawSample government documents, affidavits, and subpoenas accompanying each chapterIllustrative pleadings and memoranda prepared by prosecutors and defense attorneysThe authors detail the nuts and bolts of a fraud and abuse investigation, from an overview of the various federal and state enforcement agencies to the potential of settling a case. Learn what to expect and how to respond with coverage of:Requests to examine books and records dealing with an organization's programs and operationsInterviews of employees by the OIG or the FBIThe power of HIPAA administrative subpoenas and the broad authority granted under this statuteSteps that should be taken in responding to the government's requestDealing with on-site demands for records and accessInternal audits and investigationsVoluntary disclosuresAffirmative actions to try and fend off an investigation, plea agreements, and deferred prosecution
Book Synopsis Healthcare Fraud and Abuse Introduction by : Daniel Farb
Download or read book Healthcare Fraud and Abuse Introduction written by Daniel Farb and published by University of Health Care. This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare Fraud and Abuse Introduction should be used for two purposes: informing one's organization about fraud and abuse and for documenting their training as part of a compliance program.
Book Synopsis Preventing Fraud and Abuse by : Elizabeth Hogue
Download or read book Preventing Fraud and Abuse written by Elizabeth Hogue and published by . This book was released on 1988 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Regional office manual written by and published by . This book was released on 1985 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Fraud and Abuse Investigations Handbook for the Health Care Industry by : Paul W. Shaw
Download or read book Fraud and Abuse Investigations Handbook for the Health Care Industry written by Paul W. Shaw and published by . This book was released on 2021 with total page 775 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors examine each stage of a fraud and abuse investigation, beginning with an overview of federal and state enforcement agencies, and concluding with a discussion of the potential collateral consequences of an investigation. They have supplemented their analysis extensively with sample documents, including indictments, requests for records, subpoenas, internal response memoranda, and responses to auditors, prosecutors, and more. Taken together, the materials in this book provide a true Handbook for anyone who needs to quickly and thoroughly understand the complex nature of a government fraud and abuse investigation.-Preface.
Book Synopsis Healthcare Fraud, Waste, Abuse, and Safe Harbors by : Jonathan P. Tomes
Download or read book Healthcare Fraud, Waste, Abuse, and Safe Harbors written by Jonathan P. Tomes and published by Irwin Professional Publishing. This book was released on 1993-01-01 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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)
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
Author :Paul Robert DeMuro Publisher :Atlantic Information Systems Incorporated ISBN 13 :9780929156378 Total Pages :134 pages Book Rating :4.1/5 (563 download)
Book Synopsis Health Care Executives' Guide to Fraud and Abuse by : Paul Robert DeMuro
Download or read book Health Care Executives' Guide to Fraud and Abuse written by Paul Robert DeMuro and published by Atlantic Information Systems Incorporated. This book was released on 1998-01-01 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Columbia/HCA "event" was a wake-up call for the health care industry: maintain your status as a partner in good standing" with federal and state governments...or else! The message is clear: the government is serious about not only ferreting out fraud and abuse, but also punishing business crimes with severe, often devastating criminal penalties. Search warrants, grand jury subpoenas, unexpected visits from the IG at your employees' homes, treble damages and stiff penalties are becoming the norm. And ignorance of the laws or the existence of fraud and abuse in a hospital, managed care plan, lab, home health agency or other provider organization is no longer an excuse. This important new book, by two of the nation's top fraud and abuse experts, is written exclusively for health care executives rather than lawyers. It provides a thorough understanding of fraud and abuse across the health care industry by explaining the laws themselves as well as of what those laws mean for executives, physicians, service providers and others working in the industry. Included are straightforward discussions of kickbacks, self-referral bans, reimbursement fraud, what to do when fraud is suspected or uncovered, how to prevent it from occurring, a provider's obligation to report violations, and how to weather fraud and abuse problems if and when they occur.
Author :Wolters Kluwer Law & Business Health Editorial Publisher :Wolters Kluwer ISBN 13 :0808040049 Total Pages :1642 pages Book Rating :4.8/5 (8 download)
Book Synopsis Master Medicare Guide 2015 by : Wolters Kluwer Law & Business Health Editorial
Download or read book Master Medicare Guide 2015 written by Wolters Kluwer Law & Business Health Editorial and published by Wolters Kluwer. This book was released on 2015-02-25 with total page 1642 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2015 Master Medicare Guide is a one-volume desk reference packed with timely and useful information for providers, attorneys, accountants, and consultants who need to stay on top of one of the most complex programs maintained by the federal government.
Book Synopsis Master Medicare Guide by : Wolters Kluwer Law & Business
Download or read book Master Medicare Guide written by Wolters Kluwer Law & Business and published by Wolters Kluwer. This book was released on 2015-02-25 with total page 1662 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2015 Master Medicare Guide is packed with timely and useful information to help you stay on top of one of the most complex programs administered by the federal government. The 2015 Edition includes: Over 500 explanation summaries for all aspects of the Medicare program coverage, eligibility, reimbursement, fraud and abuse, and administration Highlights of the Protecting Access to Medicare Act of 2014 (P.L. 113-93) and the Improving Medicare Post-Acute Care Transformation Act of 2014 (P.L. 113-185)""; the most recent physician fee schedule reimbursement fix; A focus on the continuing implementation of the Affordable Care Act as it relates to Medicare, including accountable care organizations and a tighter link between the quality of health care and Medicare reimbursement All discussions include cross-references to relevant laws, regulations, CMS manual sections, administrative and judicial decisions, and more!
Book Synopsis Health Care Fraud and Abuse by : Aspen Health Law Center
Download or read book Health Care Fraud and Abuse written by Aspen Health Law Center and published by . This book was released on 1998 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
