Managing Legal Compliance in the Health Care Industry

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Author: George B. Moseley III,Lecturer in Health Law and Management Department of Health Policy and Management Harvard School of Public Health Boston Massachusetts George B Moseley III

Publisher: Jones & Bartlett Publishers

ISBN: 1449639658

Category: Business & Economics

Page: 582

View: 2902

The pressures are mounting for healthcare organizations to comply with a growing number of laws and regulations. With the passage of the Affordable Care Act, sophisticated compliance programs are now mandatory and the penalties for noncompliance are more severe. Increasingly, those who are trained in the fundamentals of healthcare laws and regulations and the complexities of designing and running compliance programs will be in high demand. Managing Legal Compliance in the Health Care Industry is a comprehensive resource that will prepare you to build and manage successful compliance programs for any healthcare service or industry. In three sections, this unique title first examines all the key laws and regulations with which healthcare organizations must comply. In section two, the author explores in detail the seven essential ingredients for a good compliance program. In the final section, the book explains how the compliance program must be adapted to the special needs of different types of healthcare organizations. Designed for administrators and legal counsel in health care organizations, as well graduate-level students in programs of public health, health administration, and law, Managing Legal Compliance in the Health Care Industry is filled with highly practical information about the ways that legal violations occur and how good compliance programs function. Key Features: -Examines in detail the current laws and regulations with which all types of healthcare organizations must comply -Explores the seven essential ingredients for a good compliance program -Looks at compliance programs within twelve different types of healthcare organizations -References real-world cases of fraud and abuse -Includes Study Questions and Learning Experiences in each chapter that are designed to encourage critical thinking -Accompanied by a Navigate Companion Website that offers an interactive glossary, a list of current compliance events, downloadable documents, and a reading list.

Managing Legal Compliance in the Health Care Industry

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Author: George B. Moseley III

Publisher: Jones & Bartlett Learning

ISBN: 9781284034271

Category: Law

Page: 582

View: 6287

Managing Legal Compliance in the Health Care Industry is a comprehensive text that prepares students for this increasingly critical field in health care administration. In three sections, this unique title first examines all the key laws and regulations that health care organizations must comply with. In section two, it explores in detail the seven essential ingredients for a good compliance program. In the final section, the book explains how the compliance program must be adapted to the special needs of different types of health care organizations.Designed for graduate level students in programs of public health, health administration, and law, the text is filled with highly practical information about the ways that legal violations occur and how good compliance programs function. Key Features:- Examines in detail the current laws and regulations with which all types of health care organizations must comply- Explore the seven essential ingredients for a good compliance program- Looks at compliance programs within twelve different types of health care organizations- References real world cases of fraud and abuse- Includes Study Questions and Learning Experiences in each chapter that are designed to encourage critical thinking

Corporate Compliance in Home Health

Establishing a Plan, Managing the Risks

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Author: Fay A. Rozovsky

Publisher: Jones & Bartlett Learning

ISBN: 9780834211735

Category: Law

Page: 512

View: 5788

Litigation is rampant in the home health field - and it's not just about billing and coding. It's also about other practices that could lead to compliance problems, such as substandard employment practices or failing to run background checks. A lawsuit against your agency could come completely out of left field. But you can avoid getting blind-sided and protect your agency. Corporate Compliance in Home Health: Establishing a Plan, Managing the Risks gives home health care providers practical, down-to-earth standards for controlling and preventing losses growing out of corporate compliance. With this new resource from Aspen, get an up-to-date and easy-to-understand review of the law of corporate compliance, find out how the new OIG (Office of the Inspector General of HCFA) model compliance guidance for hospitals impacts home health, and uncover where your agency is at risk. You'll find out what to do if and when your agency comes under investigation, and get important, timely federal reference material from the GAO to HHS, and key parts of the Federal Sentencing Guidelines.

Quality Management in Health Care: Principles and Methods

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Author: Donald Lighter,Douglas C. Fair

Publisher: Jones & Bartlett Learning

ISBN: 0763732184

Category: Business & Economics

Page: 589

View: 2046

Now in its second edition, Quality Management in Health Care: Principles and Methods addresses the mounting pressure on the health care industry to control costs while providing the highest quality care and services. In doing so, it provides students with a solid foundation in the implementation of quality improvement activities and the tools necessary to evaluate and improve their efforts toward quality of care. With an emphasis on general theory and practical applications, the text delineates the techniques that form the basis of quality management in medicine, such as group processes, process orientation, statistical process control, and statistical techniques. A clear and concise writing style and effective use of examples, illustrations, and case studies elucidate the complex topics presented in the text.

HCISPP Study Guide

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Author: Timothy Virtue,Justin Rainey

Publisher: Syngress

ISBN: 012802089X

Category: Computers

Page: 210

View: 9748

The HCISPP certification is a globally-recognized, vendor-neutral exam for healthcare information security and privacy professionals, created and administered by ISC2. The new HCISPP certification, focused on health care information security and privacy, is similar to the CISSP, but has only six domains and is narrowly targeted to the special demands of health care information security. Tim Virtue and Justin Rainey have created the HCISPP Study Guide to walk you through all the material covered in the exam's Common Body of Knowledge. The six domains are covered completely and as concisely as possible with an eye to acing the exam. Each of the six domains has its own chapter that includes material to aid the test-taker in passing the exam, as well as a chapter devoted entirely to test-taking skills, sample exam questions, and everything you need to schedule a test and get certified. Put yourself on the forefront of health care information privacy and security with the HCISPP Study Guide and this valuable certification. Provides the most complete and effective study guide to prepare you for passing the HCISPP exam - contains only what you need to pass the test, and no fluff! Completely aligned with the six Common Body of Knowledge domains on the exam, walking you step by step through understanding each domain and successfully answering the exam questions. Optimize your study guide with this straightforward approach - understand the key objectives and the way test questions are structured.

Risk Management in Health Care Institutions: A Strategic Approach

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Author: Florence Kavaler,Allen D. Spiegel

Publisher: Jones & Bartlett Learning

ISBN: 9780763723149

Category: Health & Fitness

Page: 444

View: 3255

Risk management for health care institutions involves the protection of the assets of the organizations, agencies, and individual providers from liability. A strategic approach can result in significant cost savings. Risk Management in Health Care Institutions: A Strategic Approach offers governing boards, chief executive officers, administrators, and health profession students the opportunity to organize and devise a successful risk management program. Experts in risk management have contributed comprehensive, up-to-date syntheses of relevant topics to assist with practical risk management strategies.

Principles of Health Care Management

Compliance, Consumerism, and Accountability in the 21st Century

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Author: Seth B. Goldsmith

Publisher: Jones & Bartlett Learning

ISBN: 9780763732431

Category: Medical

Page: 379

View: 5395

Faced with strict government regulations and increasing service demands by consumers, healthcare providers find themselves accountable on both ends. Written to reflect the realities of the 21st century, Principles of Health Care Management considers the many outside forces influencing health care institutions, and in doing so provides a progressive and modern reference on how to effectively manage a health organization. Using relevant case studies to illustrate key points, this text explains the critical changes and challenges that administrators must deal with as they go about practicing their profession and what students must learn as they begin their study of this vital field. Organized into five sections, The text covers: Essential foundation material on the U.S. health system A review of the essentials of healthcare management an examination of the crucial area of corporate compliance A look at how consumerism affects the healthcare organization A model of accountable management that begins with a reconceptualization of strategic planning and ends with an analysis of the accountable organization.

Secure Data Management

4th VLDB Workshop, SDM 2007, Vienna, Austria, September 23-24, 2007, Proceedings

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Author: Willem Jonker

Publisher: Springer Science & Business Media

ISBN: 3540752471

Category: Business & Economics

Page: 212

View: 2173

Although a number of cryptography and security techniques have been around for quite some time, emerging technologies, such as ubiquitous computing and ambient intelligence that exploit increasingly interconnected networks, mobility and personalization, put new requirements on privacy and security with respect to data management. As data are accessible anytime anywhere, according to these new concepts, it becomes much easier to get unauthorized data access. As another consequence, the use of new technologies has brought some privacy concerns. It becomes simpler to collect, store, and search personal information and endanger people’s privacy. Therefore, research in the area of secure data management is of growing importance, attracting the attention of both the data managementand securityresearchcommunities. The interesting problemsrange from traditional topics, such as access control and general database security, via privacy preserving data mining, to new research directions, such as search on encrypted data and privacy-enhancing technologies. This year, the call for papers attracted 29 papers both from universities and industry. For presentation at the workshop,the ProgramCommittee selected 11 full papers (37% acceptance rate) as well as 4 position papers. These papers are also collected in this volume, which we hope will serve you as a useful research and reference material.

Risk Management Applications in Pharmaceutical and Biopharmaceutical Manufacturing

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Author: Hamid Mollah,Harold Baseman,Mike Long

Publisher: John Wiley & Sons

ISBN: 1118514343

Category: Science

Page: 416

View: 8843

Sets forth tested and proven risk management practices indrug manufacturing Risk management is essential for safe and efficientpharmaceutical and biopharmaceutical manufacturing, control, anddistribution. With this book as their guide, readers involved inall facets of drug manufacturing have a single, expertly written,and organized resource to guide them through all facets of riskmanagement and analysis. It sets forth a solid foundation in riskmanagement concepts and then explains how these concepts areapplied to drug manufacturing. Risk Management Applications in Pharmaceutical andBiopharmaceutical Manufacturing features contributions fromleading international experts in risk management and drugmanufacturing. These contributions reflect the latest research,practices, and industry standards as well as the authors' firsthandexperience. Readers can turn to the book for: Basic foundation of risk management principles, practices, andapplications Tested and proven tools and methods for managing risk inpharmaceutical and biopharmaceutical product manufacturingprocesses Recent FDA guidelines, EU regulations, and internationalstandards governing the application of risk management to drugmanufacturing Case studies and detailed examples demonstrating the use andresults of applying risk management principles to drug productmanufacturing Bibliography and extensive references leading to the literatureand helpful resources in the field With its unique focus on the application of risk management tobiopharmaceutical and pharmaceutical manufacturing, this book is anessential resource for pharmaceutical and process engineers as wellas safety and compliance professionals involved in drugmanufacturing.

Risk Management Handbook for Health Care Organizations, 3 Volume Set

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Author: American Society for Healthcare Risk Management (ASHRM)

Publisher: John Wiley & Sons

ISBN: 0470649194

Category: Medical

Page: 650

View: 8962

Continuing its superiority in the health care risk management field, this sixth edition of The Risk Management Handbook for Health Care Organizations is written by the key practitioners and consultant in the field. It contains more practical chapters and health care examples and additional material on methods and techniques of risk reduction and management. It also revises the structure of the previous edition, and focuses on operational and organizational structure rather than risk areas and functions. The three volumes are written using a practical and user-friendly approach.

Corporate Compliance

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Author: Sharon Oded

Publisher: Edward Elgar Publishing

ISBN: 1781954755

Category: Law

Page: 336

View: 1867

How to induce corporate compliance with regulations? Harsh punishments will cause companies to disguise violations, and mild punishments will cause companies to report their violations and make weak efforts to avoid them. In this book, Sharon Oded canvasses the history of thinking about corporate compliance, and he proposes his own candidate for the best law. This is a sophisticated account of legal incentives that will repay any reader interested in corporate compliance. Robert Cooter, University of California, Berkeley, US The effective control of corporate misconduct is a vital but elusive task for regulators, given the complexity of organization structures and the need to find the right balance between deterrent- and cooperative-based enforcement policies. In this powerful and comprehensive study, Sharon Oded argues for combining different approaches and boldly advocates, in particular, the use of third-party independent corporate monitoring firms to implement self-policing strategies. This will be essential reading for those involved in the theory or practice of regulatory corporate enforcement. Anthony Ogus, University of Manchester, UK and University of Rotterdam, The Netherlands This book considers how a regulatory enforcement policy should be designed to efficiently induce proactive corporate compliance. It first explores two major schools of thought regarding law enforcement, both the deterrence and cooperative approaches, and shows that neither of these represents an optimal regulatory enforcement paradigm from a social welfare perspective. It provides a critical analysis of recent developments in US Federal corporate liability regimes, and proposes a generic framework that better tailors sanction schemes and monitoring systems to regulatee performance. The proposed framework efficiently induces corporate proactive compliance, while maintaining an optimal level of deterrence. This insightful book will appeal to academics in law and economics, behavioral economics, criminology, and business, as well as to practitioners and policymakers.

Health Care Law

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Author: Janice L. Kazmier

Publisher: Cengage Learning

ISBN: 141801110X

Category: Law

Page: 464

View: 4345

Health Care Law provides essential information necessary for students pursuing careers in the growing health care sector, as paralegals, managers, or compliance/ethics professionals. This text offers students easy-to-read chapters that provide outlines, learning objectives, summaries, and exercises to assist students with comprehension. Chapters focus on key information such as the types of health care entities, and the laws and ethics that govern them, and discuss the major areas of health care law, including regulatory research and administrative law review. Also highlighted are important contemporary topics like electronic health records, corporate compliance, HIPAA privacy and security, physician professional relationships, and prepares students for their careers with real-world examples. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.

Principles of Health Care Management

Foundations for a Changing Health Care System

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Author: Professor Emeritus School of Public Health and Health Sciences University of Massachusetts Amherst Massachusetts Seth B Goldsmith, SCD, JD,Seth B. Goldsmith

Publisher: Jones & Bartlett Publishers

ISBN: 1449610455

Category: Law

Page: 438

View: 9220

Faced with strict government regulations and increasing service demands by consumers, healthcare providers find themselves accountable on both ends. Written to reflect the realities of the 21st century, Principles of Health Care Management considers the many outside forces influencing health care institutions, and in doing so provides a progressive and modern reference on how to effectively manage a health organization. Using relevant case studies to illustrate key points, this text explains the critical changes and challenges that administrators must deal with as they go about practicing their profession and what students must learn as they begin their study of this vital field.

Health Care Administration

Planning, Implementing, and Managing Organized Delivery Systems

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Author: Lawrence F. Wolper

Publisher: Jones & Bartlett Learning

ISBN: 9780763731441

Category: Medical

Page: 953

View: 5375

Health Care Administration: Planning, Implementing, and Managing Organized Delivery Systems, Fourth Edition continues to be the definitive guide to contemporary health administration. it provides comprehensive coverage of detailed functional, technical, and organizational matters that pertain to organized delivery systems. it also extensively covers matters that relate to hospitals and functions that occur at the hospital level. With revisions that reflect the emerging issues in health care, this classic text is a must-have for both health administration students and professionals.

The Social Media Handbook

Rules, Policies, and Best Practices to Successfully Manage Your Organization's Social Media Presence, Posts, and Potential

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Author: Nancy Flynn

Publisher: John Wiley & Sons

ISBN: 1118206819

Category: Business & Economics

Page: 384

View: 7649

The Social Media Handbook is a comprehensive risk and compliancemanagement toolkit that walks employers step-by-step through theprocess of developing and implementing effective social mediapolicy and compliance management programs that are designed tominimize—and in some cases prevent—social networkingand web 2.0 risks and other electronic disasters. Throughout this important resource Nancy Flynn (aninternationally recognized expert on workplace social media) offersa guide to best practices for creating safe, effective, andcompliant electronic business communications. The book contains athorough review of the risks inherent in employees' social mediause and content and explores how organizations can help managebehavior, mitigate risks, and maximize compliance through theimplementation of strategic social media compliance managementprograms. These programs combine written policies, supported bycomprehensive employee education and are enforced byproven-effective technology tools. Once these policies and programsare in place employers can safely take advantage of the marketingand communications benefits offered by social media. Covering a wealth of material, the book includes vitalinformation on topics such as social media and the law; managingrecords and e-discovery compliantly; regulatory compliance; privacyand security; blog risks and compliance rules; mobile devices drivesocial media risks; a seven-step plan for social media policy andcompliance management; conducting a social media audit; creatingsocial media policies; content rules and compliance; policycompliance and education; reputation management; and more. In addition to addressing pertinent topics on risk management,the book contains cautionary, real-life social networking disasterstories that show how organizations can lose revenue andreputations, reveals how employees can lose jobs, and explains howindividuals can face public humiliation. The Social Media Handbook is a hands-on guide written for humanresource professionals, information technology managers, legalprofessionals, compliance officers, records managers, and otherswho need to manage today's technology tools with up-to-dateemployment rules.

Microsoft SharePoint 2013 Inside Out

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Author: Darvish Shadravan,Penelope Coventry,Thomas Resing,Christina Wheeler

Publisher: Pearson Education

ISBN: 0735672229

Category: Computers

Page: 904

View: 9356

Conquer SharePoint 2013—from the inside out! You’re beyond the basics, so dive right into SharePoint 2013—and really put your business collaboration platform to work! This supremely organized reference packs hundreds of timesaving solutions, troubleshooting techniques, and workarounds. It’s all muscle and no fluff. Discover how the experts facilitate information sharing across the enterprise—and challenge yourself to new levels of mastery. Efficiently manage documents throughout the enterprise Build team sites and collaborate with Microsoft OneNote and SkyDrive Design workflows with SharePoint Designer and Microsoft Visio Produce e-forms using Microsoft InfoPath and Access Manage community sites using business social features Connect SharePoint to external data and business systems Create business intelligence dashboards and key performance indicators Customize and control Sharepoint enterprise search

Ethics, Law, and Aging Review, Volume 7

Liability Issues and Risk Management in Caring for Older Persons

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Author: Marshall B. Kapp, JD, MPH, FCLM

Publisher: Springer Publishing Company

ISBN: 9780826115799

Category: Medical

Page: 230

View: 4489

Health care and human service professionals often experience anxiety about potential adverse legal repercussions for actions taken or not taken in the course of caring for patients or clients. In this volume, professionally distinguished and diverse authors discuss both the real and perceived legal liability context within which health and human service delivery to older persons takes place. The benefits and costs of litigious, legislative, and regulatory interventions on the quality of care and the quality of life for recipients of geriatric services is evaluated. Most important, chapters present suggestions for ways to effectively reduce or manage legal risks and anxieties while improving patient care. This volume fills a gap in the literature by providing careful and accurate analysis of legal issues rarely translated into practical and useful advice for health care and human service professionals.

The Business of Medical Practice

Transformational Health 2.0 Skills for Doctors, Third Edition

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Author: David E. Marcinko, MBA, CFP, CMP

Publisher: Springer Publishing Company

ISBN: 0826105769

Category: Medical

Page: 512

View: 1766

Praise for the previous edition: "This comprehensive multi-authored text contains over 450 pages of highly specific and well-documented information that will be interest to physicians in private practice, academics, and in medical management. . . [Chapters are] readable, concise yet complete, and well developed. I could have used a book like this in the past, I will certainly refer to it frequently now." 4 stars Carol EH Scott-Conner, MD, PhD, MBA American College of Physician Executives Does Health 2.0 enhance or detract from traditional medical care delivery, and can private practice business models survive? How does transparent business information and reimbursement data impact the modern competitive healthcare scene? How are medical practices, clinics, and physicians evolving as a result of rapid health- and non-health-related technology change? Does transparent quality information affect the private practice ecosystem? Answering these questions and more, this newly updated and revised edition is an essential tool for doctors, nurses, and healthcare administrators; management and business consultants; accountants; and medical, dental, business, and healthcare administration graduate and doctoral students. Written in plain language using nontechnical jargon, the text presents a progressive discussion of management and operation strategies. It incorporates prose, news reports, and regulatory and academic perspectives with Health 2.0 examples, and blog and internet links, as well as charts, tables, diagrams, and Web site references, resulting in an all-encompassing resource. It integrates various medical practice business disciplines-from finance and economics to marketing to the strategic management sciences-to improve patient outcomes and achieve best practices in the healthcare administration field. With contributions by a world-class team of expert authors, the third edition covers brand-new information, including: The impact of Web 2.0 technologies on the healthcare industry Internal office controls for preventing fraud and abuse Physician compensation with pay-for-performance trend analysis Healthcare marketing, advertising, CRM, and public relations eMRs, mobile IT systems, medical devices, and cloud computing and much more!

Legal Self Defense for Mental Health Practitioners

Quality Care and Risk Management Strategies

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Author: Robert Henley Woody, Sr., PhD, JD

Publisher: Springer Publishing Company

ISBN: 0826195660

Category: Psychology

Page: 184

View: 597

"It is difficult to find books that provide such a wealth of information on legal issues for practicing clinicians. This is a solidly written, invaluable resource that all practicing mental health professionals must read." Score: 97, 5 Stars.--Doody's Medical Reviews "Legal Self-Defense for Mental Health Practitioners is interesting, informative, andcommitted to professional, ethical quality care of service recipients....Woody offers many useful risk managementstrategies for mental health professionals....[and his] discussions are provocative and are supported by current, well-established references."--PsycCRITIQUES "I give high marks to Legal Self-Defense for Mental Health Practitioners because it presents a real-world perspective and no-nonsense analysis....As impressive, is that this valuable information is packed into a mere 153 pages, making the book an economical investment of time for the knowledge that is gained."--New England Psychologist At some point in their careers, mental health professionals may face legal action from clients. Clients may be noncompliant regarding policies agreed upon at the outset of therapeutic services, not adhere to an individualized treatment plan, be inappropriately aggressive, and file unjustified ethics and licensing complaints and/or lawsuits. Unfortunately, many mental health practitioners are not prepared for such actions and suffer great distress that affects their professional and personal lives. This practical text, written by an author who is both a psychologist and an attorney, demonstrates how mental health professionals can avoid legally actionable mistakes in their practices and what to do if they occur. Reflecting contemporary social policy and laws regarding mental health services, the text emphasizes the protection of rights for both practitioner and client, and addresses such pitfalls as malpractice, licensing hearings, noncompliant clients, and dealing with the legal system. It distills the authorís wisdom, gained over more than 30 years of legal counsel to all types of mental health practitioners, and describes how to improve practice strategies for achieving quality care, confront ethics and licensing complaints, and defend against potential or actual lawsuits. Additionally, the book covers individualized treatment planning, effective record keeping, how to deal with dangerous clients, how to insulate yourself from risk, and more. Numerous real life examples further help practitioners foster the knowledge and skills to assertively defend their rights should the need arise. Key Features: Illustrates how to avoid legally actionable mistakes in assessment and treatment Covers such issues as effective record keeping, treatment planning, dealing with dangerous or non-compliant clients, protecting your practice, and more Helps mental health professionals foster a ìwarriorî mentality when faced with unjust allegations of wrongdoing Presents numerous real-life cases