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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 "
Recognizing the important role that compliance programs could play in helping health care providers & the enforcement community work together to reduce improper payments by Medicare, the author was asked to determine: (1) how prevalent are compliance programs among hospitals & other Medicare providers; (2) what costs are involved with compliance programs; & (3) to the extent effectiveness can be measured, how effective these programs are. This review focused almost exclusively on hospital & hospital-affiliated providers because they receive the largest share of Medicare funds & are the focus of several current enforcement actions. Tables.
Written by a long-standing practitioner in the field, this timely and critical work is your best source for understanding all the complex issues and requirements associated with corporate compliance. It provides clear guidance for those charged with protecting their companies from financial and reputational risk, litigation, and government intervention, who want a robust guide to establish an effective compliance program.
Thomas Fox, the Compliance Evangelist, is one of the leading writers, thinkers and commentators on the nuts and bolts of compliance. His always practical advice is now available in one volume, The Complete Compliance Handbook. This book incorporates the most recent pronouncements and guidance from the Department of Justice, including 2017's Evaluation of Corporate Compliance Programs and FCPA Corporate Enforcement Policy, to provide the most up-to-date advice on what constitutes a best practices compliance program. In this single volume compendium, Fox brings together the tops ideas, topics and techniques you can incorporate your compliance program, literally in 31-days to more fully operationalize your compliance regime. If you want one volume to guide you in operationalizing compliance, this is it. The book is designed to provide you with a step-by-step guide to the design, creation, implementation of or enhancement to a compliance program. It begins with 31-days to a more effective compliance program. Each entry presents one thing you can accomplish, at little to no cost, to improve any level of compliance program. There are three key-takeaways for each entry. The final chapter goes through the same process for you to operationalize your compliance program. In between these bookends, The Complete Compliance Handbook features chapters on: -Operationalizing Compliance Through Human Resources -The Role of the Board of Directors and Compliance -360-Degrees of Communication in Compliance -Better Third-Party Risk Management -Reporting and Investigations -Internal Controls -Innovation in Compliance -Written Standards -More Effective Compliance for Business Ventures -Continuous Improvement The author, Thomas Fox, has written 15 books on compliance, leadership and business ethics. He founded the Compliance Podcast Network and has one of the largest social media presences in compliance. He has worked in the compliance arena for over 10 years and draws upon his many years of experience in the profession to create this single volume which will become the standard 'nuts and bolts' text on compliance. Fox's writing style is suited for any skill level of compliance practitioner or maturity of corporate compliance program.