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What is the purpose of a Hospital Compliance Plan?
This chapter will help you identify the purpose of a Compliance Plan and how it should be incorporated into your daily tasks.
1. Overall Objectives
2. Department Specific Compliance Plan
8.1
Overall Objectives
8.2
Department Specific Compliance Plan
8.3
What are Standards of Conduct?
8.4
Charging
8.5
Coding
8.6
Billing
8.7
What are the Primary Risk Areas?
8.8
Physician Orders
8.9
Kickbacks and Rebates
8.10
Medical Necessity
8.11
Medicare Secondary Payor Form
8.12
EMTALA - Emergency Medical Treatment and Labor Act
8.13
HIPAA - Health Insurance Portability and Accountability Act
8.14
Documentation
8.15
Documentation
8.16
Charging, Coding and Submission of charges
8.17
Corrective Action Plans
8.18
Education and Training Programs
8.19
Auditing and Providing Feedback of Results
8.20
How does compliance impact employees?
8.21
Government Investigation
8.22
Who is my Compliance Officer and Committee Members?
8.23
OMHC Compliance Test
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