Corporate Compliance in Home Health: Establishing a Plan, Managing the RisksJones & Bartlett Learning, 1998 - 512 من الصفحات 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. |
المحتوى
Appendix | 5 |
Appendix | 92 |
Appendix | 129 |
Chapter 2Situations That Trigger Compliance Exposure in Home Health Care | 169 |
Problem Providers and Their Impact on Medicare | 178 |
Appendix | 212 |
Chapter 3The Legal Context for Corporate Compliance Plans | 219 |
Appendix | 229 |
Appendix | 275 |
Risk Management Challenges and Strategies | 289 |
Appendix 6A Sample Tools | 305 |
January 25 1996 Medicare and State Health Care | 311 |
January 9 1998 Medicare and Medicaid Programs | 335 |
January 5 1998 Medicare and Medicaid Programs | 463 |
Table of Cases | 501 |
Voluntary Corporate Compliance Plans | 249 |
عبارات ومصطلحات مألوفة
1995 final rule administrative advisory opinion agreement amendment amount apply appropriate assessment audit August 1995 final believe beneficiaries billing claims clinical laboratory compensation arrangement compliance program contract corporate compliance plan cost report criminal designated health services determine durable medical equipment effective employees entity equipment evaluation exception False Claims Act Federal financial relationship fraud and abuse funds group practice guidelines HCFA health care fraud health care program health care providers health plan HHA's home health agency home health aide home health services hospital individual investigation issues managed care Medi Medicaid agency Medicare and Medicaid Medicare program ment nursing occupational therapy offense Office organization overpayments patient payment percent physi physical therapy physician policies procedures prohibition proposed rule referrals regulations regulatory reimbursement request requestor requirements safe harbor sentencing services furnished specific standards submit suppliers surety bond therapy tient tion vices volume or value