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Author : Bill Dacey
Publisher : Delmar
ISBN 13 :
Total Pages : 278 pages
Book Rating : 4.:/5 ( download)
Download or read book The Physician Compliance Auditing and Monitoring Manual written by Bill Dacey and published by Delmar. This book was released on 2001 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Ingenix, Incorporated
Publisher :
ISBN 13 : 9781563299179
Total Pages : pages
Book Rating : 4.2/5 (991 download)
Download or read book Physician Compliance Auditing and Monitoring written by Ingenix, Incorporated and published by . This book was released on 2002-11 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Ingenix, Inc. Staff
Publisher :
ISBN 13 : 9781563297502
Total Pages : 260 pages
Book Rating : 4.2/5 (975 download)
Download or read book Physician Compliance Auditing and Monitoring Guide written by Ingenix, Inc. Staff and published by . This book was released on 2001-11 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : HCPro
Publisher : HC Pro, Inc.
ISBN 13 : 1601460767
Total Pages : 278 pages
Book Rating : 4.6/5 (14 download)
Download or read book Hospital Auditing and Monitoring Toolkit written by HCPro and published by HC Pro, Inc.. This book was released on 2007-09 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : John Steiner, Jr.
Publisher :
ISBN 13 : 9780979221019
Total Pages : pages
Book Rating : 4.2/5 (21 download)
Download or read book Monitoring and Auditing Practices for Effective Compliance written by John Steiner, Jr. and published by . This book was released on 2002-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This book was prepared to assist compliance officers and compliance committee members with designing and maintaining an effective corporate compliance program by providing an in-depth look at monitoring and auditing strategies and tactics.
Author :
Publisher :
ISBN 13 : 9781733598750
Total Pages : pages
Book Rating : 4.5/5 (987 download)
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:
Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)
Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Author : Bill Dacey
Publisher : Delmar
ISBN 13 :
Total Pages : 368 pages
Book Rating : 4.:/5 ( download)
Download or read book Physician Compliance Implementation Manual written by Bill Dacey and published by Delmar. This book was released on 2001 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Margret Amatayakul
Publisher : Hcpro, a Division of Blr
ISBN 13 : 9781601463524
Total Pages : 305 pages
Book Rating : 4.4/5 (635 download)
Download or read book Guide to HIPAA Auditing written by Margret Amatayakul and published by Hcpro, a Division of Blr. This book was released on 2009-04-16 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of a best-selling book delivers the hands-on tools and guidance you need to conduct effective in-house audits and stay out off the government's radar.
Author : Duane C. Abbey
Publisher : CRC Press
ISBN 13 : 1563273683
Total Pages : 232 pages
Book Rating : 4.5/5 (632 download)
Download or read book Compliance for Coding, Billing & Reimbursement, 2nd Edition written by Duane C. Abbey and published by CRC Press. This book was released on 2008-04-02 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.
Author : Cherilyn G. Murer
Publisher : McGraw-Hill Professional Publishing
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.0/5 ( download)
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.
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)
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 : Joe Rivet
Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781601468215
Total Pages : 0 pages
Book Rating : 4.4/5 (682 download)
Download or read book Auditing Evaluation and Management Services, Second Edition written by Joe Rivet and published by Hcpro, a Division of Simplify Compliance. This book was released on 2011-06-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Auditing Evaluation and Management Services: A Step-By-Step Guide to Accurate Coding, Reimbursement and Compliance, Second Edition Joe Rivet, CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHC Turn E/M audits into informative reports that minimize your compliance risk The government is increasing its scrutiny of physician E/M coding. Conducting your own E/M coding audits is best practice to effectively: Analyze complex code assignment options to select the appropriate code Assign an appropriate E/M code based on documentation in the record Identify opportunities for increased revenue and ways to reduce compliance risks Understand the rules and regulations that apply to E/M services billed to Medicare Auditing Evaluation and Management Services is an essential tool to ensure audit success and E/M compliance. This second edition goes beyond the fundamentals of E/M coding and delves into the gray, problematic compliance areas. Author Joe Rivet delivers step-by-step guidance from beginning to end of the E/M audit process. You'll learn how to Select an E/M code, Conduct an entire audit of your E/M services Report your E/M audit findings With this foundation, you'll be well prepared to enhance compliance and identify undercoding, underreporting, overcoding, revenue opportunities, and avenues for documentation improvement. Auditing Evaluation and Management Services, Second Edition, will help practices enhance existing auditing programs by explaining how to determine accurate E/M error rates and assess risk. You will learn how to: Determine proper E/M code selection Conduct risk assessments Structure audits, using the provided E/M audit tool, and package audits Create provider audit summary reports, practice audit summary reports, missed revenue reports, and an action plan Follow guidelines for facility E/M services and interpret the rules governing E/M services involving residents or fellows (including acceptable and unacceptable documentation) Develop a compliance plan and educate a variety of audiences from physicians to coding staff Take a look at the table of contents E/M Code Categories NEW! Selecting an E/M Code Conducting a Risk Assessment E/M Audit Structure Using an Audit Tool Packaging an Audit Facility E/M Services NEW! Teaching Physician Services NEW! Developing a Compliance Plan Education Techniques NEW! What's new? New chapters devoted to: E/M Code Categories Facility E/M Services Teaching Physicians Education Techniques Who will benefit from this book? Auditors and compliance officers in physician practices and hospitals Health systems that own physician practices Business managers Office managers Practice administrators Coding, billing, and reimbursement managers and staff Earn continuing education credits American Academy of Professional Coders This program has prior approval of the American Academy of Professional Coders (AAPC) for 3 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content, or the program sponsor. American Health Information Management Association This program has been approved for 4 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
Author : Margret Amatayakul
Publisher :
ISBN 13 : 9781615692835
Total Pages : 0 pages
Book Rating : 4.6/5 (928 download)
Download or read book Guide to Hipaa Auditing, Third Edition written by Margret Amatayakul and published by . This book was released on 2014-08-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guide to HIPAA Auditing: Practical Tools for Privacy and Security Compliance, Third Edition Margret Amatayakul, MBA, RHIA, CHPS, CPHIT, CPEHR, CPHIE, FHIMSS What you don't know about HIPAA can hurt you! Workforce turnover, new information systems, and external forces are continuous compliance challenges. A 138% increase in the number of privacy and security breaches affecting 500 or more individuals between 2012 and 2013, plus HIPAA Omnibus Rule requirements, make a workable HIPAA compliance plan, adequate resources, and tools to help you determine your current compliance status more critical than ever. With HIPAA audits slated to resume and Office for Civil Rights (OCR) monetary settlements steadily increasing, the risk of ending up on OCR's "wall of shame" is greater than ever. OCR and two covered entities recently entered into the largest HIPAA settlement to date--a combined $4.8 million penalty for alleged violations during a joint arrangement. The first step to ensuring HIPAA compliance is developing an effective risk analysis and management process that identifies threats, corrects vulnerabilities, and protects your patients. The Guide to HIPAA Auditing: Practical Tools for Privacy and Security Compliance, Third Edition, will help you build a successful HIPAA compliance auditing and monitoring program at your organization. It will help you identify potential risks, improve your compliance program, and document your activities--putting you in good standing for any government audit or litigation that requires you to substantiate your efforts. This book will help you do the following: Build the business case for compliance assurance Understand and communicate to all concerned, including your workforce and business associates, the purpose and nature of auditing and monitoring for privacy and security compliance Develop an appropriately resourced privacy and security compliance assurance program Use tools to effectively plan for, conduct, and document the process of auditing and monitoring privacy and security compliance Close the feedback loop when potential issues arise and necessitate privacy and security compliance assurance improvements Identify and evaluate external resources for constructing your privacy and security compliance assurance program TABLE OF CONTENTS: Chapter 1: Building the Business Case for Compliance Assurance Chapter 2: Compliance Assurance Program Chapter 3: Organizational Relationships Chapter 4: Audit Planning Chapter 5: Auditing Uses and Disclosures Chapter 6: Auditing Individual Rights Chapter 7: Auditing Risk Analysis Chapter 8: Auditing Privacy and Security Administrative Requirements Chapter 9: Auditing Physical Security Chapter 10: Auditing Technical Security Chapter 11: Auditing Breach Notification Compliance Chapter 12: Education, Training, and Awareness Appendix WHO SHOULD READ THIS BOOK: Privacy officers Information security officers Compliance officers Risk officers HIM directors and managers IT security staff
Author : John E. Steiner
Publisher :
ISBN 13 : 9780977843015
Total Pages : 139 pages
Book Rating : 4.8/5 (43 download)
Download or read book Monitoring and Auditing Practices for Effective Compliance written by John E. Steiner and published by . This book was released on 2008 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Illinois. Office of the Auditor General
Publisher :
ISBN 13 :
Total Pages : 198 pages
Book Rating : 4.:/5 (31 download)
Download or read book Program Audit written by Illinois. Office of the Auditor General and published by . This book was released on 1997 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : John E. Steiner
Publisher :
ISBN 13 : 9780971315617
Total Pages : 103 pages
Book Rating : 4.3/5 (156 download)
Download or read book Monitoring and Auditing Practices for Effective Compliance written by John E. Steiner and published by . This book was released on 2002 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt:
