Managing Legal Compliance in the Health Care Industry

Author: George B. Moseley III
Publisher: Jones & Bartlett Publishers
ISBN: 9781449639655
Release Date: 2013-09-20
Genre: Business & Economics

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 Health Care Business Strategy

Author: George B. Moseley III
Publisher: Jones & Bartlett Learning
ISBN: 9781284081107
Release Date: 2017-03-20
Genre: Medical

Managing Health Care Business Strategy is the definitive textbook on strategic planning and management for healthcare organizations. It offers all the basic information on strategic planning and management within the unique context of organizations concerned with the delivery and financing of health care. It does this by noting the singular strategic environment in health care, explaining the special procedures and options available to health care organizations, and providing real-life examples in the form of case studies. It includes not only a description of the basic multi-step process of creating and then managing a strategic plan, but also a detailed look at the role played by the key business functions (finance, marketing, human resources, information technology, and law) as well as specific strategic options (merger/acquisition, reorganization, joint venture) and some of the popular tools for analyzing strategic situations (balanced scorecard, Six Sigma, SWOT).

Basics of the U S Health Care System

Author: Nancy J. Niles
Publisher: Jones & Bartlett Learning
ISBN: 9781284102888
Release Date: 2016-12-14
Genre: Medical

Basics of the U.S. Health Care System, Third Edition provides students with a broad, fundamental introduction to the workings of the healthcare industry. Engaging and activities-oriented, the text offers an especially accessible overview of the major concepts of healthcare operations, the role of government, public and private financing, as well as ethical and legal issues. Each chapter features review exercises and Web resources that make studying this complex industry both enjoyable and easy. Students of various disciplines—including healthcare administration, business, nursing, public health, and others—will discover a practical guide that prepares them for professional opportunities in this rapidly growing sector.

Principles of Health Care Management

Author: Professor Emeritus School of Public Health and Health Sciences University of Massachusetts Amherst Massachusetts Seth B Goldsmith, SCD, JD
Publisher: Jones & Bartlett Publishers
ISBN: 9781449610456
Release Date: 2010-10-25
Genre: Law

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.

Navigating the U S Health Care System

Author: Nancy J. Niles
Publisher: Jones & Bartlett Learning
ISBN: 9781284108163
Release Date: 2017-02-15
Genre: Business & Economics

Navigating the U.S. Health System gives students a solid understanding of the important aspects of the U.S. health system and the role a health navigator plays in the system. Unlike other introductory U.S. Health Care Systems and Delivery texts, Navigating the U.S. Health Care System will include specific strategies on how to be a successful healthcare navigator as well as more detailed information on the delivery of both inpatient and outpatient health care services.

Corporate Compliance in Home Health

Author: Fay A. Rozovsky
Publisher: Jones & Bartlett Learning
ISBN: 0834211734
Release Date: 1998-01-01
Genre: Law

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.

HCISPP Study Guide

Author: Timothy Virtue
Publisher: Syngress
ISBN: 9780128020890
Release Date: 2014-12-11
Genre: Computers

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.

The Complete Legal Guide to Healthcare Records Management

Author: Cherilyn G. Murer
Publisher: McGraw-Hill
ISBN: 0071349642
Release Date: 2000
Genre: Law

While much has changed in the delivery of healthcare in this country, what has not changed is the importance of maintaining and managing medical records. All healthcare organizations must keep complete medical records to comply with Federal and state laws, to minimize exposure to malpractice liability and to ensure that quality care is given to patients. With more systems crossing state lines and an increase in centralized medical records departments, The Complete Legal Guide to Healthcare Records Management becomes a valuable resource to the professional who handles records from multiple geographic locations. Users of this resource will be in a position to maintain or improve their records management systems and to protect themselves from regulatory compliance violations and malpractice liability. The Complete Legal Guide to Healthcare Records Management is an "all-in-one" resource and reference for healthcare professionals in a variety of settings. The comprehensive state-by-state format allows organizations who deliver care in diverse geographic locations to understand and account for variations in state requirements on record keeping. Topics covered in The Complete Legal Guide to Healthcare Records Management: -- Records defined -- general discussion and definitions of Federal and state laws -- Ownership issues of medical records -- general ownership, physician/provider conflict -- Records to keep -- Why must you keep records? -- Time requirement for record-keeping -- The electronic record and special problems with advancing technology -- Storing medical records -- Correcting medical records -- Disclosure of records -- such as drug and alcohol abuserecords, communicable disease information -- Dealing with court orders and subpoenas -- Participation in Medical Research -- Disposal of medical records -- Healthcare business records -- what are they and do you keep them? The Complete Legal Guide to Healthcare Records Management is a "must-have" for anyone in the healthcare industry who comes in contact with healthcare records!

Health Care Administration

Author: Lawrence F. Wolper
Publisher: Jones & Bartlett Learning
ISBN: 0763731447
Release Date: 2004
Genre: Medical

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.

Quality Management in Health Care Principles and Methods

Author: Donald Lighter
Publisher: Jones & Bartlett Learning
ISBN: 9780763732189
Release Date: 2004-02-24
Genre: Business & Economics

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.

Encyclopedia of Health Care Management

Author: Michael J. Stahl
Publisher: SAGE Publications
ISBN: 9781452265247
Release Date: 2003-10-21
Genre: Medical

The topic of health care management has escalated to one of the most widely discussed and debated topics in the health care industry, MBA programs, and in the field of medicine in general. In the 1980s, the industry was relatively stable and the need for combining business acumen with medicine was less than today. However, as we enter the 21st century, the need for applying business and management skills to the health care industry is stronger than ever. This Encyclopedia covers every topic a medical professional, institutional administrator, or MBA student would need to know about the business of health care. Key Features * Over 600 entries * More than 160 expert contributors from the fields of medicine, public health, business * Tables on medical degrees, medical specialties, medical organizations, health care acronyms, medical legislation * Unites the business and medical worlds, and spans the academic, corporate, and governmental arenas Topics Covered Accounting and Activity-Based Costing / Economics / Finance / Health Policy / Human Resources / Information Technology / Institutions and Organizations / International Health Care Issues / Legal and Regulatory Issues / Managed Care / Marketing and Customer Value / Operations and Decision Making / Pharmaceuticals and Clinical Trials / Quality / Statistics and Data Mining / Strategy

Healthcare Information Privacy and Security

Author: Bernard Peter Robichau
Publisher: Apress
ISBN: 9781430266778
Release Date: 2014-06-23
Genre: Computers

Healthcare IT is the growth industry right now, and the need for guidance in regard to privacy and security is huge. Why? With new federal incentives and penalties tied to the HITECH Act, HIPAA, and the implementation of Electronic Health Record (EHR) systems, medical practices and healthcare systems are implementing new software at breakneck speed. Yet privacy and security considerations are often an afterthought, putting healthcare organizations at risk of fines and damage to their reputations. Healthcare Information Privacy and Security: Regulatory Compliance and Data Security in the Age of Electronic Health Records outlines the new regulatory regime, and it also provides IT professionals with the processes and protocols, standards, and governance tools they need to maintain a secure and legal environment for data and records. It’s a concrete resource that will help you understand the issues affecting the law and regulatory compliance, privacy, and security in the enterprise. As healthcare IT security expert Bernard Peter Robichau II shows, the success of a privacy and security initiative lies not just in proper planning but also in identifying who will own the implementation and maintain technologies and processes. From executive sponsors to system analysts and administrators, a properly designed security program requires that that the right people are assigned to the right tasks and have the tools they need. Robichau explains how to design and implement that program with an eye toward long-term success. Putting processes and systems in place is, of course, only the start. Robichau also shows how to manage your security program and maintain operational support including ongoing maintenance and policy updates. (Because regulations never sleep!) This book will help you devise solutions that include: Identity and access management systems Proper application design Physical and environmental safeguards Systemwide and client-based security configurations Safeguards for patient data Training and auditing procedures Governance and policy administration Healthcare Information Privacy and Security is the definitive guide to help you through the process of maintaining privacy and security in the healthcare industry. It will help you keep health information safe, and it will help keep your organization—whether local clinic or major hospital system—on the right side of the law.

Corporate Compliance

Author: Sharon Oded
Publisher: Edward Elgar Publishing
ISBN: 9781781954751
Release Date: 2013-01-01
Genre: Law

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.

Risk Management in Health Care Institutions A Strategic Approach

Author: Florence Kavaler
Publisher: Jones & Bartlett Learning
ISBN: 0763723142
Release Date: 2003
Genre: Health & Fitness

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.