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Major Topics Covered

Anti-kickback

Attribution of financial relationships

Billing for items or services not rendered

Billing for medically unnecessary services

Clinical research/drug trials

Creation, retention, and destruction of records

Clinical research/drug trials

Credit balances/failure to refund

Clinical research/drug trials

Data collection and submission

Discounts and free items

Duplicate billing

Enforcement actions and settlement agreements

Equipment and space rentals

False cost reports

Group practices

Hospice and nursing home relationships

Hospital admissions and discharges

Hospital incentives to physicians

Industry compliance guidelines

Joint ventures and acquisitions

Managed care

Marketing and enrollment

Marketing practices

Outpatient services

Oversight of contractors/subcontractors

Personal services and management agreements

Physician financial relationships

Statutory and regulatory requirements

Teaching physicians/residents

Unbundling

Underutilization and quality of care

Upcoding

Waiver or payment of copayments, deductibles, or premiums

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Health Care Compliance Library

Details

What this service is:

Ensure the integrity of your health care compliance program and reduce your legal risks with this all-in-one resource especially for health care providers seeking reimbursement under Medicare, Medicaid, TRICARE, and other federal health care programs, fully updated every month and written in clear, understandable language.

What it helps you do:

Develop appropriate compliance programs.

Assure that your organization is meeting legal standards.

Address issues of noncompliance.

Establish training programs to prevent potential problems.

Be aware of changes in laws and regulations.

Understand and stay abreast of nationwide government enforcement priorities, initiatives, and actions.

Keep up with information regularly provided by the HHS Office of Inspector General, Justice Department, U.S. Attorneys.

Save hundreds of hours of research and preparation time.

Receive expert analysis from BNA editors with substantial guidance and review from members of the American Bar Association Health Law Section.

Analyze specific selected compliance topics, complete with case studies, interviews with experts, and tips, in Monthly Focus.

Use practical tips, compliance checklists, and other useful documents.

Search the Library easily for topic-specific news and analysis.

Access full-text documents through convenient links to public and private Web sites.

Product Structure

Reference: analysis, guidance and primary source material

Formats and Frequency

Print reference material is updated monthly.

Web reference material is updated regularly.