The Compliance Officer's Handbook, Third Edition Strategies and Tools for a Comprehensive Healthcare Compliance Program

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 tools
• Perform more thorough internal investigations with step-by-step processes
• Implement the latest best practices for compliance programs
• Stay current on CMS and OIG regulations affecting compliance
• Respond proactively to new regulatory and industry challenges
• Save time with sample policies and procedures

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

Table 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 Officer
• Compliance professional
• Compliance specialist
• CEO and COO of hospitals
• Internal auditor