Managing Compliance With Regulation & Accreditation in the Hospital - 9781449639648

For administrators and legal counsel in healthcare organizations, and graduate students, Moseley explains how to manage legal compliance. He outlines the laws and regulations with which healthcare organizations must comply, including the False Claims act, HIPAA (Health Insurance Portability and Accountability Act) and HITECH (Health Information Technology for Economic and Clinical Health Act), and those related to fraud and abuse, antitrust, federal income tax, safe harbors, advisory opinions, and special fraud alerts, as well as corporate integrity agreements. He details the elements of a compliance program recommended by the federal government, with discussion of the role of the compliance officer, directors and trustees, internal investigations, repayments and disclosures, training and education, and auditing and monitoring, and how the program must be adapted to the special needs of different types of organizations (hospitals, physician practices, nursing and long-term care facilities, hospices and home health agencies, clinical laboratories, ambulance providers and suppliers, third-party billing companies, Medicare Advantage plans, pharmaceutical manufacturers, research facilities, and durable equipment, prosthetics, orthotics, and supply manufacturers). Online access to an interactive glossary, list of compliance events, downloadable documents, and reading list is provided. Annotation ©2013 Book News, Inc., Portland, OR (booknews.com)