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Case study listing
1 Overview of healthcare compliance 1
2 Structuring CBR compliance programs 11
3 Coding, billing, and reimbursement: Problem/opportunity areas 19
4 Investigation and problem solving 43
5 Development of CBR policies and procedures 57
6 Implementing changes 67
7 Developing effective training 75
8 Monitoring and corrective action 83
9 Conducting CBR baseline audits 95
10 Integrating CBR compliance into corporate compliance 105
11 HIPAA compliance 117
12 Special regulatory areas 127
13 Compliance considerations for hospitals 139
14 Compliance considerations for physicians and clinics 151
15 Special compliance audits and reviews 163
References and bibliography 179
Acronyms 185
Appendix 189
Index 199
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