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Under the Medicare Modernization Act and CMS' quality initiative, your hospital could lose millions of dollars if it does not report its quality data accurately and efficiently. Don't take chances. Here's the help you need to meet-and exceed-compliance standards.
Hospitals could lose millions in Medicare reimbursement for failing to report quality data measures. That's in addition to fines and penalties under the False Claims Act.
Don't let this happen at your facility
The new book, Patient Safety Meets Corporate Compliance: Ensure Quality of Care to Avoid Fines and Prosecution brings you the information you need to file patient care data that reflects your facility's commitment to excellence. You'll find audit tools and sample policies and procedures to help you comply with Medicare regulations and other state and federal regulations, bill appropriately, and ensure that staff are properly credentialed.
Hospitals providing inadequate care face steep fines and penalties. The Office of Inspector General and the Department of Justice are making investigating and prosecuting quality-of-care violations a top focus area. And the two government departments are using the False Claims Act against facilities that provide poor quality of care. Their argument: Claims filed when quality doesn't meet acceptable standards are false claims.
All the news isn't bad.
Providing excellent patient care may have substantial pay-offs. Hospitals that participate in the CMS quality initiative will receive a 2% bonus on their Medicare payments if their reported data is in the top 10%. Runners-up with reported data that ranks in the top 20% will receive a 1% bonus.
This book is the tool you need to meet the government's regulations for reporting patient care data. Failing to submit quality data means your hospital won't receive the Medicare "market basket inflationary" reimbursement increase in 2005.
Where does your facility stand? It won't be easy to collect your share of the reimbursement with patient quality data that doesn't measure up to the government's standards.
Don't take chances
Here are just a few of the features you'll find in Patient Safety Meets Corporate Compliance:
Tools such as audit checklists, directions for drafting policies, and sample policies Details about how to comply with CMS' Hospital Quality Incentive Initiative Strategies for responding to instances of medical errors/poor quality and deciding when not to bill Overview of the Office of Inspector General and Department of Justice perspectives for investigating quality of care cases, including what they look for and strategies for change Guidance to encourage your organization's culture to move toward a blameless improvement and safety culture, while maintaining compliance with regulatory and legal requirements Patient Safety Meets Corporate Compliance is a must-have resource for compliance officers, medical directors, patient safety officers, quality managers, risk managers, legal counsel, and credentialing and accreditation staff.
Meet the Authors
James A. Kopf is the president of Healthcare Oversight, Inc, a New York City consulting firm. He is the former director of the criminal investigations division, Office of Inspector General, Office of Investigations, for the U.S. Department of Health and Human Services.
F. Lisa Murtha, Esq., is a principal in the Philadelphia office of Parente Randolph, LLC, and focuses her practice on clinical research compliance, revenue cycle work, billing and coding issues, internal investigations, corporate governance/ethics, and HIPAA work.
Rory Jaffe, MD, MBA, is chief compliance officer and privacy officer for UC Davis Health System in Sacramento, CA.
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