This manual contains everything you need to put in place a compliance plan for either home care or durable medical equipment. Included in this valuable resource:

• Purpose of Corporate Compliance Programs
• Seven Elements of a Corporate Compliance Program
• Sample Compliance Plan
• Code of Ethics
• Standards of Conduct
• Conflict of Interest
• Conflict of Interest Disclosure Form
• Pre-Compliance Audit
• Compliance Hotline
• Position Description – Corporate Compliance Officer
• Compliance Committee
• Investigative Report Form
• Corporate Compliance Program Oversight
• Response and Prevention Policy
• Monitoring and Auditing Process
• Marketing
• Medicare Status
• Annual Organization Evaluation
• Government Investigations
• Anti-Kickback
• Compensation
• Stark Laws
• Anti-Trust
• Fraud
• Billing Practices
• Certificate of Medical Necessity
• Physician’s Prescription
• Selection of HCPCS Codes
• Waiver of Coinsurance / Deductibles
• Claims Submission
• Duplicate Billing
• Overpayments
• Sample Accounts Receivable Audit Forms
• Denied Claims
• Contracts
• Acceptance of Patients
• Patient Referral Forms
• Patient Bill of Rights
• Patient Complaints
• Grievances
• Authorization to Treat
• Discontinuance of Service Against Medical Advice
• Ethics Committee
• Ethical Dilemmas in Patient Care – Staff Rights
• Conflict Resolution
• Confidentiality of Information
• Modifying / Altering the Patient Record
• Visiting Log
• Care Planning
• Discharge / Transfer of Patients
• Medical Record Review / Audit
• Health Services Questionnaire
• Compliance Education and Training Programs
• Compliance Program Education

…and much more!