The Compliance Program Effectiveness Handbook - Tapa blanda

Reseña del editor

How do you know whether you compliance program is effective? Have you really done everything the government expects you to do?  You could read the OIG’s Compliance Program Guidance for Hospitals and its Supplemental Compliance Program Guidance for Hospitals, but they are poorly organized and difficult to follow.

You need one source that illuminates the OIG’s expectations in an easy-to-follow checklist format. You need one easy-to-use reference that documents your past efforts and helps you determine your next steps to ensure compliance effectiveness.

Now, following the Guidances is easier than ever...

The Compliance Program Effectiveness Handbook makes it easier to follow the compliance Guidances and make sure that they are a viable and effective component of your hospital’s day-to-day compliance program.

The Compliance Program Effectiveness Handbook walks you through each of the seven elements of a hospital compliance program. Furthermore, it outlines the OIG’s expectations for complying with rules governing physician referrals, kickbacks, conflicts of interest, billing and coding, and discounts and care for the uninsured.

You’ll find dozens of pages of checklists to help you benchmark your progress and map the steps you need to take to make your compliance program more effective.

Author Lawrence W. Vernaglia, J.D., M.P.H., and the editorial team, take the government’s complicated language and translate it into plain English to give you a clear, concise blueprint to rate your compliance program’s effectiveness or build a new program from scratch.

Easy-to-follow action steps determine compliance at-a-glance...

Does your hospital measure up to government standards? You’ll know quickly where you stand and what you need to do to make your compliance program as effective as it can be.

The checklists help you:

• understand the OIG’s Guidances by defining and explaining each component
• in easy-to-follow language
• simplify the analysis of your program’s effectiveness by showing you exactly where you need to focus attention
• target staff and resources as you decide how to prioritize areas that need attention
• benchmark your compliance program against the OIG’s expectations
• evaluate results of your efforts and redirect subsequent efforts to continue to strengthen your program

The included CD-ROM makes the job even easier...

All of the checklists in The Compliance Program Effectiveness Handbook are on the included CD-ROM. Just download and customize for your organization. Use your results to document action steps and demonstrate your efforts to meet the OIG’s standards.

The CD-ROM also includes fully searchable text of the OIG’s Guidances so you can refer to the government’s actual documents.

Maintaining an effective compliance program takes a continuing effort. The Compliance Program Effectiveness Handbook is your key to measuring your compliance program’s effectiveness. 

Take look at the Table of Contents

• Introduction to the Compliance Guidances
• Chapter 1: Guidance concerning hospital compliance programs
• Chapter 2: Billing, coding, documentation, and accounting risk areas
• Chapter 3: Anti-kickback, Stark Law, and provider-arrangement risk areas
• Chapter 4: Risks related to patient care, ability to pay, and discounts
• Appendix 1: OIG Compliance Program Guidance checklist
• Appendix 2: OIG Supplemental Compliance Program Guidance checklist
• Appendix 3: The Gradually Changing Landscape: The New OIG Enforcement Guidance For Hospitals