Essentials of Healthcare Compliance / Edition 1

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Overview

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.

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Editorial Reviews

Doody's Review Service
Reviewer: LouAnn Schraffenberger, MBA, RHIA, CCS, CCS-P(Advocate Health Care)
Description: This book describes the necessary components of a formal compliance program in a healthcare facility.
Purpose: The purpose is to promote compliance with sound business practices within the law for a healthcare facility. Specifically, the book was written to assist health information professionals in guiding their health information management department and organization to legally obtain correct reimbursement and to maintain practices that are compliant with healthcare compliance standards.
Audience: According to the author, the book is meant for any post-secondary or graduate school with a health information management program for a course related to healthcare compliance. Healthcare facilities, including physicians' offices, hospitals, and ambulatory care centers, can benefit by using this book to develop an internal training program for healthcare compliance. The author is an educator in a health information technology program in Florida and has written other books on healthcare procedure coding.
Features: Features include key terms to understand the terminology of healthcare compliance, case studies of actual case investigations of violations of compliance standards, "sticky notes" and "It's the Law" descriptions of key factors in the chapters, and examples of key concepts. Each chapter also includes a review quiz and chapter research and discussion activities. Chapter topics include rationales for developing a healthcare compliance program, role of the compliance officer, components and foundations of a successful program, special areas of interest in compliance, internal and external auditing, and the importance of handling noncompliant activities.
Assessment: This book provides a solid description of a healthcare compliance program. A student learning package includes appendixes with information about the certification exam for healthcare compliance, reference websites, and a glossary. A teacher package includes a separate instructor's manual with answer keys for all chapter quizzes, sample lesson plans, and mapping of subjects to the national healthcare compliance certification examination. The book would provide health information professionals or students with a good start in understanding the requirements of a career in healthcare compliance.
From The Critics
Reviewer: LouAnn Schraffenberger, MBA, RHIA, CCS, CCS-P(Univ of Illinois at Chicago School of Biomed & Health Info Mgmt)
Description: This book describes the necessary components of a formal compliance program in a healthcare facility.
Purpose: The purpose is to promote compliance with sound business practices within the law for a healthcare facility. Specifically, the book was written to assist health information professionals in guiding their health information management department and organization to legally obtain correct reimbursement and to maintain practices that are compliant with healthcare compliance standards.
Audience: According to the author, the book is meant for any post-secondary or graduate school with a health information management program for a course related to healthcare compliance. Healthcare facilities, including physicians' offices, hospitals, and ambulatory care centers, can benefit by using this book to develop an internal training program for healthcare compliance. The author is an educator in a health information technology program in Florida and has written other books on healthcare procedure coding.
Features: Features include key terms to understand the terminology of healthcare compliance, case studies of actual case investigations of violations of compliance standards, "sticky notes" and "It's the Law" descriptions of key factors in the chapters, and examples of key concepts. Each chapter also includes a review quiz and chapter research and discussion activities. Chapter topics include rationales for developing a healthcare compliance program, role of the compliance officer, components and foundations of a successful program, special areas of interest in compliance, internal and external auditing, and the importance of handling noncompliant activities.
Assessment: This book provides a solid description of a healthcare compliance program. A student learning package includes appendixes with information about the certification exam for healthcare compliance, reference websites, and a glossary. A teacher package includes a separate instructor's manual with answer keys for all chapter quizzes, sample lesson plans, and mapping of subjects to the national healthcare compliance certification examination. The book would provide health information professionals or students with a good start in understanding the requirements of a career in healthcare compliance.
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Product Details

  • ISBN-13: 9781418049218
  • Publisher: Cengage Learning
  • Publication date: 1/13/2009
  • Series: Health Care Admin Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 448
  • Sales rank: 729,466
  • Product dimensions: 7.30 (w) x 9.20 (h) x 0.70 (d)

Table of Contents

1. Introduction to Compliance Programs. 2. The Compliance Officer. 3. Components of an Effective Compliance Program. 4. Legal and Ethical Considerations. 5. Compliance. Patient Consent. 6. Compliance. Documentation. 7. Compliance Reporting. 8. Creating Policies and Procedures. 9. Education and Training. 10. The Internal Audit. 11. External Audits. 12. Keeping the Program Current. 13. Enforcement. Dealing with Non-Compliance. Appendix A. Health Care Compliance Association (HCCA) Certified in Healthcare Compliance (CHC) Examination. Appendix B. Abbreviations and Acronyms. Appendix C. Professional Associations. Appendix D. Professional Designations. Appendix E. Reference Websites. Glossary. Index.

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