Health care fraud and abuse compliance manual






















An immensely practical resource, Health Care Fraud and Abuse Compliance Manual provides a comprehensive overview of legislative and regulatory restrictions that . Medicare Anti-Fraud and Abuse Partnerships and Agencies page Health Care Fraud Prevention Partnership \(HFPP\) page Centers for Medicare Medicaid Services \(CMS\) page Office of the Inspector General \(OIG\) page Health Care Fraud Prevention and Enforcement Action Team \(HEAT\) page General Services Administration \(GSA. The Health Care Compliance Professional's Manual is one of the most vital, long-standing, and best known resources in the world of health care compliance. It has all the tools you and your compliance team need to plan and execute a customized compliance program. EMTALA, fraud and abuse, reimbursement, privacy, security, patient safety, and.


• Patient privacy and security compliance including HIPAA • Medicare and Medicaid rules • Fraud and abuse compliance including the Anti-Kickback Statute and the Stark Law • Public health and welfare compliance including HITECH and EMTALA Included for US Code: Titles 7, 15, 18, 21, 31, reporting fraud to the OIG. Health care professionals who exploit Federal health care programs for illegal, personal, or corporate gain create the need for laws that combat fraud and abuse and ensure appropriate, quality medical care. Physicians frequently encounter the following types of business relationships that may raise fraud and. OIG's compliance documents include special fraud alerts, advisory bulletins, podcasts, videos, brochures, and papers providing guidance on compliance with Federal health care program standards. OIG also issues advisory opinions, which cover the application of the Federal anti-kickback statute and OIG's other fraud and abuse authorities to the requesting party's existing or proposed business arrangement.


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