Compliance

To provide the guidance, regulatory support and tools health care compliance professional need to secure their organizations' compliance with a full range of government regulations, including, but not limited to:

• Medicare participation and fraud and abuse rules; anti-trust and self-referral regulations, CMS and Joint Commission facility (hospital, home health agency, laboratory, etc.) accreditation standards, as well as OSHA, ADA, and other health care and business regulations.

Resources For You

	Medicare Compliance Alert Plain-English news and guidance to help health care providers stay on the right side of Medicare laws and out of the court dockets. Just the right mix of cutting edge news with practical, nuts and bolts how-to information.
	Fraud and Abuse Answer Book An all-in-one resource filled with straightforward explanations of health care compliance rules and practical tips to help your organization stay on the right side of fraud and abuse laws. Complete, reliable guidance to comply with tough regulations that directly affect you.
	HIPAA Answer Book Comprehensive guidance to cost-effective compliance with all HIPAA's security, privacy, and electronic transactions and code sets rules with HIPAA Answer Book.
	Compliance Officer's Report Independent news and practical guidance to help health care compliance professionals at physician practices and hospitals manage the wide array of business and regulatory compliance challenges they face. Stay on the right side of the regulations and ensure your organization can continue to grow financially while managing risk.

News

Look for Identity Theft "Red Flag Rules" to hit providers soon

There's a new set of rules for you to deal with – the so-called "Red Flag Rules" – and they're coming from none other than the banking industry! The rules deal with identify theft and will affect physician practices, hospitals and other providers based on the type of billing you offer Medicare and non-Medicare patients alike. A few highlights:

• Your billing and collection practices may trigger the new Rules.
• There are 26 examples of suspicious behavior that the government has identified as "red flags".
• Your board/senior staff have specific compliance responsibilities.

DecisionHealth's Compliance Officer's Report broke the story in its latest issue and is working future stories with proactive steps for providers to take in preparation for the new rules. Also, we're hosting a special Audio Conference on Nov. 12 on the new rules  – watch this site and/or your newsletters for complete details. (or call 866-620-5939 and reference A1630).