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This practical guide shows how to build an effective compliance and ethics program that will lower a business's risks and improve productivity. • Offers a step-by-step guide to creating and managing an effective compliance program • Showcases the latest best practices in a world of ever-changing regulations • Identifies the importance of developing and maintaining a corporate culture of "doing the right thing" and shows how ethical training can improve compliance • Features interviews with and best practices from top compliance executives, judges, Department of Justice attorneys, and Archer Daniels Midland informant Mark Whitacre • Provides easy-to-understand overviews and recommendations for complying with specific laws
Thousand of new positions for compliance professionals and personnel have emerged, and in fact the compliance profession has begun to differentiate itself within the health care industry.
While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.
Michael Murphy, Compliance Professional, is an international training and consulting specialist with 25 years of experience. Mike is President/CEO of Premier Consulting Services Inc, PCSThis guide is the second Mike along with his co-author, Mark Waterfill on complying with the requirements of HIPAA Privacy and Security Rules. Mark Waterfill, Attorney-At-Lawspecializes his practice in business and employment law. Mark is a share holder and senior partner with DannPecarNewman & Kleimanlocated in Indianapolis IN. In addition to his law practice Mark is an international speaker and author on various topics related to both business & employment law.
Written by a long-standing practitioner in the field, this timely and critical work is your best source for understanding all the complex issues and requirements associated with corporate compliance. It provides clear guidance for those charged with protecting their companies from financial and reputational risk, litigation, and government intervention, who want a robust guide to establish an effective compliance program.
Unfiltered is a satirical and raw discussion about anti-corruption in the Middle East. While informative, it is written in a dark and somewhat rough voice that the author refers to as the pirate. Pirates are not known for their good manners. Unfiltered defines and explains what constitutes a robust anti-corruption program for the Middle East, but it includes some personal anecdotes from the authors twenty years of experience in Saudi Arabia. Unfiltered says things that many in the corporate world can dare to only think about but can never say out loud without risking the unemployment line, court, or jail.

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