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 Legal Compliance in the Health Care Industry

Author: George B. Moseley III
Publisher: Jones & Bartlett Learning
ISBN: 1284034275
Release Date: 2013-09-16
Genre: Law

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

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.

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.

Principles of Health Care Management

Author: Seth B. Goldsmith
Publisher: Jones & Bartlett Learning
ISBN: 0763732435
Release Date: 2005-01-01
Genre: Medical

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.

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.

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.

Health Care Law

Author: Janice L. Kazmier
Publisher: Cengage Learning
ISBN: 9781418011109
Release Date: 2008-03-21
Genre: Law

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.

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.

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.

Secure Data Management

Author: Willem Jonker
Publisher: Springer Science & Business Media
ISBN: 9783540752479
Release Date: 2007-09-12
Genre: Business & Economics

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.

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.