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Essentials of Healthcare Compliance

Shelley C Safian

4 ratings by Goodreads
ISBN 10: 1418049212 / ISBN 13: 9781418049218
Published by Delmar Cengage Learning, 2009
Used Condition: Used: Good Soft cover
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Bibliographic Details

Title: Essentials of Healthcare Compliance

Publisher: Delmar Cengage Learning

Publication Date: 2009

Binding: Paperback

Book Condition:Used: Good

About this title


Essentials of Health Care Compliance provides you with the knowledge and skills necessary to understand how a formal compliance program is implemented at a health care facility. Managing several staff members and keeping a health care practice compliant with federal, state, and local statutes and regulations is a challenging job. Real-world examples and the author's hands-on approach will help you visualize yourself on-the-job, using the knowledge you have gained from this book to meet these challenges.


Chapter 1: Introduction in Compliance Chapter 2: Introduction to Law and Ethics Chapter 3: Government Enforcement Agencies, Statutes and Initiatives Chapter 4: The Legal Medical Record Chapter 5: The National Health Information Infrastructure (NHII) Chapter 6: OIG: Understanding the Basics V Fraud and Abuse Prevention and Detection Chapter 7: OIG: Protecting the Claims Payment Processes of the Government Payers Chapter 8: OIG: Practical Management of Coding Compliance Chapter 9: OIG: Practical Management of the Reimbursement Process Chapter 10: HIPAA: Understanding the Basics V Streamlining Processing and Protecting Health Information Chapter 11: HIPAA: Electronic Transactions, Code Sets and Unique Identifiers Chapter 12: HIPAA: Privacy Regulations Chapter 13: HIPAA: Security Regulations Chapter 14: Hands on HIPAA: Compliant EDI Chapter 15: Hands on HIPAA: Compliant Communications and Administrative Chapter 16: Hands on HIPAA: Compliant Information Systems Chapter 17: Hands on HIPAA: Staff Training and Education Chapter 18: Hands on HIPAA: The Role of the Business Associate Chapter 19: Building the Compliance Program Chapter 20: Auditing and Monitoring Healthcare Compliance Practices APPENDICES A. Job Descriptions B. Forms and Checklists C. Glossary of Terms D. Matrix for Policies and Procedures E. Web links F. Sample Training Modules for Employees

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