Overview

The California Hospital Compliance Manual is the only publication written for hospital compliance officers that integrates California law and federal law on high-risk compliance areas. Written by Hooper, Lundy & Bookman, PC, and CHA, the 2013 edition has been updated to reflect changes through Jan. 1, 2013.

Changes to this edition include:

• A new chapter and chart on hospital required signage
• A new section about Medi-Cal’s provider-preventable conditions
• Additional information about the CMS 60-day or cost report due date deadline for reporting and refunding overpayments
• Additional IRS guidance to tax-exempt hospitals regarding financial assistance policies, methods for limiting patient charges, extraordinary collections actions, and patient notification procedures under the ACA requirements for tax-exempt hospitals (proposed regulations)
• Updated information about physician supervision of therapeutic services
• Revised CMS-identified hospital-acquired conditions (HACs) categories

The manual focuses on the key topics and laws that must be addressed in an effective compliance program. The 2013 edition includes a new chapter on hospital signage that explains sign and font size, and foreign language requirements — many sample signs are provided. A model compliance plan that hospitals can adapt to fit their operations is available on the free CD, along with the Hospital Signage Requirements chart, posters and appendixes. The manual also includes legal citations and an index of key terms.

(Fourth edition, 2013)

Written By:
Hooper, Lundy & Bookman, PC
California Hospital Association

Content

The manual features over 500 pages of content including 14 chapters, a model hospital compliance plan, numerous compliance forms and appendixes, and an index. A complimentary CD with the model plan, the Hospital Signage Requirements chart, posters, and appendixes is also included.

Chapters:

• Hospital Compliance Plans
• Federal and State False Claims Acts
• Submission of Accurate Claims Information
• Proper Cost Reporting Practices
• Physician Self-Referral Laws
• Federal and State Anti-Kickback Laws
• Hospital Fair Pricing Policies
• Issues for Tax-Exempt Hospitals
• Fundamentals of Hospital Licensing and Certification
• Screening for Excluded Providers
• Other Laws
• Repayment and Self-Disclosure
• Responding to Government Audits and Investigations
• Hospital Signage Requirements — NEW Chapter!

Reviews

“Simply put, it’s an excellent overall resource to support sound compliance programs.”
– Ron Gaasch, Director of Compliance & Privacy Officer, Community Hospital of the Monterey Peninsula

“It’s easy to read and well organized. As a compliance officer with other key roles, I don’t have time to look through countless regulations to find answers — this is a one stop shop.”
– Barry Mangels, Director, Risk Management & Chief Compliance Officer, Good Samaritan Hospital, L.A.

“The value of this manual comes from the blend of state and federal information.”
– Robin Kacey, Compliance Officer, Valley Presbyterian Hospital

“Very relevant. Reliable expertise.”
– Angela Anderson, Senior Director, Regulatory Affairs, Washington Hospital

“A single reference source for compliance professionals.”
– Dinh Nguyen, Consultant, HC Compliance Solutions