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Health care fraud and abuse : a physician's guide to compliance / Hoyt Torras.
LIBRA KF3605 .T67 2003
Available from offsite location
- Format:
- Book
- Author/Creator:
- Torras, Hoyt W.
- Language:
- English
- Subjects (All):
- Health insurance--Law and legislation--United States--Criminal provisions.
- Health insurance.
- Medicare fraud.
- Medical care--Corrupt practices--United States.
- Medical care.
- Delivery of Health Care--legislation & jurisprudence.
- Medical care--Corrupt practices.
- Health insurance--Law and legislation.
- United States.
- Ethics, Medical.
- Fraud.
- Insurance, Health--legislation & jurisprudence.
- Medical Subjects:
- Delivery of Health Care--legislation & jurisprudence.
- United States.
- Ethics, Medical.
- Fraud.
- Insurance, Health--legislation & jurisprudence.
- Physical Description:
- xii, 433 pages : illustrations ; 28 cm
- Edition:
- Second edition.
- Other Title:
- Health care fraud & abuse
- Place of Publication:
- [Chicago?] : AMA Press, [2003]
- Summary:
- Since the first edition of Health Care Fraud and Abuse was published in early 2001, government agencies have released new information that medical practices need to ensure compliance. This second edition provides updated, concise, and reliable guidance to help physicians understand the implications of the ever-changing fraud and abuse laws in relation to their day-to-day practice, identify areas where violations could occur, and determine what steps they should take to minimize exposure and ensure compliance. Complying with complex laws and guidelines does not have to be another administrative impediment to the success of your medical practice. Health Care Fraud and Abuse: A Physician's Guide to Compliance, Second Edition offers the direction you need to design an effective program that can improve the results of your coding, billing, and accounts receivable management processes -- and keep your practice focused on providing the best possible patient care.
- Contents:
- Examples of fraud and abuse
- Fraud and abuse statutes
- Antikickback legislation
- Stark self-referral legislation
- Entities involved in fraud and abuse investigations
- Medicare claims review and audits
- Medical necessity denials
- How to minimize risk of an audit
- CPT coding
- ICD-9 diagnosis coding
- Compliance programs
- Developing a compliance program
- Compliance efforts in smaller medical practices.
- Notes:
- Includes bibliographical references and index.
- ISBN:
- 1579473539
- OCLC:
- 50639324
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