Healthcare Compliance Professional's Guide to Risk Assessment (Book)

The key to a solid compliance program is an effective risk assessment process. Risk assessment examines the seriousness of potential violations of law and the likelihood that certain violations may occur.

As a compliance officer, it’s your job to make sure your organization discovers risk possibilities and takes every step possible to avoid them. This book and CD-ROM offer a blueprint for success.

The Healthcare Compliance Professional’s Guide to Risk Assessments delivers:

• Sample tools for conducting risk assessments
• Guidance you can use to analyze and assess risk
• Strategies to identify risk areas for key departments
• Advice to help prioritize identified risk areas with action steps to address those risks

New laws and changing regulations, from the Deficit Reduction Act and the False Claims Act to EMTALA and HIPAA, have put hospitals under increased scrutiny from the government, private payers, and whistleblowers. Risk assessment is more crucial today than ever before—hospitals have countless exposure points for risk.

The accompanying CD-ROM includes tools and sample worksheets you can download and use to identify, analyze, and prioritize risk exposure.

Table of Contents

Chapter 1: The importance of the risk assessment process
Chapter 2: Sarbanes-Oxley: A model for risk assessment policies in the healthcare industry
Chapter 3: Tools to determine high risk areas
Chapter 4: Sorting through types of risk
Chapter 5: Analyze and prioritize risk assessment results
Chapter 6: How to manage risks
Chapter 7: Develop a work plan

Meet the Authors

Stephen Miller, JD, is chief compliance and privacy officer for Capital Health System, Inc., in Trenton, NJ.  He administers a program that promotes system-wide compliance with all applicable laws and regulations, especially those related to Federal healthcare program participation, the use and disclosure of Protected Health Information and Federal and State tax-exempt status.  He also directs Capital Health System’s internal audit function.

Robert A. Wade is a partner at Baker and Daniels, LLP, in South Bend, IN. He concentrates his practice in representing health care clients, including large health systems, hospitals, ambulatory surgical centers, physician groups, physicians and other medical providers. His specialization includes representing clients with respect to the Stark Act, Anti-Kickback Statute, False Claims Act, and Emergency Medical Treatment and Active Labor Act.

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