The Compliance Officer's Handbook, Third Edition

The Compliance Officer's Handbook, Third EditionRobert Wade Esq. Alex Krouse, J.D., M.H.A 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. Whether you are new to the field or seasoned compliance professional who want to incorporate the latest strategies, this resource will help you: Improve auditing and monitoring with field-tested toolsPerform more thorough internal investigations with step-by-step processesImplement the latest best practices for compliance programsStay current on CMS and OIG regulations affecting complianceRespond proactively to new regulatory and industry challengesSave time with sample policies and proceduresThe 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 ActThe following new forms: Income Guarantee Monthly Report, Community Need Checklist, Employment Justification Analysis Form, and Non-Monetary Benefit Tracking FormTable of contents Introduction Chapter 1: History and Evolution of Compliance Chapter 2: OIG Guidance for Compliance Programs Chapter 3: Key Regulations for Compliance Chapter 4: Privacy & Security - HIPAA Chapter 5: Fair Market Value Chapter 6: Internal Strategies for Best Practices Chapter 7: The Risk Assessment Chapter 8: Training Strategies Chapter 9: Monitoring and Auditing Chapter 10: Effective Internal Investigations Who should read The Compliance Officer's Handbook, Third Edition?Compliance OfficerCompliance professionalCompliance specialistCEO and COO of hospitalsInternal auditor