Compliance Explanations / Analysis

Cut through the "legalese" to help ensure you get the full picture of compliance. Key articles and news coverage, tools to plan and execute a customized program that meets federal and state standards. Select from the list of Explanations / Analysis products below:

News Headlines

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2008 Master Medicare GuideThe 2008 Master Medicare Guide features explanatory material related to Medicare reimbursement and compliance. Topics discussed include Medicare Part A, Part B, Part C and Part D Coverage, Program Agreements, Exclusions from Coverage, Medicare Reimbursements, Appeals, Compliance and Cost Reports.

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Topic Spotlight

OIG refines self-disclosure protocol requirements

Providers that make appropriate disclosures under the Office of Inspector General's (OIG's) self-disclosure protocol (SDP) will have the benefit of a presumption against imposition of corporate integrity agreements (CIAs) and certification of compliance agreements (CCAs), according to an open letter to health care providers issued by Inspector General Daniel R. Levinson on April 15, 2008. The letter, which refines the requirements for participation in the SDP, "emphasizes the Office of Inspector General's (OIG's) commitment to streamline its internal process for self-disclosure case resolution," the OIG said in a related press release.

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In Focus

Health Care Compliance Letter

Experts advise on community benefit, Form 990 challenges
by Larry Perlman, C.P.A., J.D., LL.M., Contributing Editor

Journal of Healthcare Compliance

What Would Compliance Professionals Find if They Were Dropped into a "Man vs. Wild" Situation?
by Roy Snell, Chief Executive Officer/Executive Director of the Health Care Compliance Association

Institutional Review Boards: Current Compliance Trends and Emerging Models
by Winifred Ann Meeker-O’Connell

Greg Luce Talks about the Relationship between Legal Counsel and Compliance
by Roy Snell, Chief Executive Officer/Executive Director of the Health Care Compliance Association

Health Care Compliance Professional’s Manual

Interacting with Pharmaceutical Representatives
by Teresa Bivens, CPC, CHC

CMS Program Integrity Group’s Compliance Initiatives
by Lisa Eggleston

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