Publication

Hospital Compliance Manual
The complete source for federal and California laws

Members  
FREE PDF Download Click Here
Purchase Printed Manual  Buy Now
Non-Member Rate  
Printed Manual
$580
Buy Now
Electronic Manual (PDF)
$580
Buy Now
Print/Electronic Bundle
$730
Buy Now

Overview

Stay up-to-date with the most comprehensive resource created specifically for hospital compliance officers, in-house counsel, and CFOs! The California Hospital Compliance Manual focuses on high-risk compliance issues including fraud and abuse regulations, addresses the key components of an effective compliance plan and covers all applicable California and federal laws.

The 2019 edition has been updated to address changes in state and federal compliance-related laws, and can help:

  • Avoid payment denials and accidental false claims with information on new Centers for Medicare & Medicaid Services (CMS) coding and documentation requirements
  • Ease compliance with Medi-Cal’s revised treatment authorization request (TAR) and appeal processes.
  • Meet pricing transparency requirements regarding chargemasters and mandates that information be posted in a machine-readable format
  • Keep current with procedural changes at the California Department of Public Health’s Centralized Applications Unit and legislatively imposed timeframes
  • Satisfy requirements for posting multiple Proposition 65 signs where one used to suffice.

Written By:
Lloyd Bookman, Esq., CHA’s Lois Richardson, Esq., and legal experts from Hooper, Lundy & Bookman, PC.

(Tenth edition, 2019)

Content

The manual features more than 700 pages of content including 16 chapters, a model hospital compliance plan, numerous compliance forms and appendices, and an index. 

Chapters:
  • Hospital Compliance Plans
  • Governing Boards
  • 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
  • Financial Assistance Policies
  • Issues for Tax-Exempt Hospitals
  • Fundamentals of Hospital Licensing and Certification
  • Screening for Excluded Providers and Suppliers
  • Hospital Signage Requirements
  • Patient Safety Organizations
  • Other Laws
  • Repayment and Self-Disclosure
  • Responding to Government Audits and Investigations

Reviews

“This is the only manual to address California and federal laws in depth — it’s well organized, and having the citations right there saves time.”
– Kevin Nelson, Director, Corporate Compliance, Cottage Health System

“The Compliance Manual is a great, comprehensive resource with quick answers to questions about state and federal laws — I appreciate the recommendations that help explain gray areas in the law.”
– Stephanie Hanson R.N. CHC, Compliance Officer, Tahoe Forest Hospital District

“CHA’s Hospital Compliance Manual is a great tool for bringing staff up to speed fast.”
– Lynn Grieves, Chief Compliance Officer, Children’s Hospital of Orange County

Preview the Manual

Click here to preview the manual.

Memo of Notable Changes

Click here to download the memo of notable changes.

Forms Policy

CHA includes hard copies of forms and appendices in its manuals for all purchasers. Electronic versions of forms, appendices, and the model compliance plan are available to CHA members for download at www.calhospital.org/free-resources.

E-Manual Terms of Use

CHA Members

Electronic copies of CHA Publications are available free to CHA members. CHA members may download each PDF for their individual use and/or post it to an Intranet or shared workstation environment.

CHA Nonmembers

Limited Use License: In purchasing this electronic publication (Publication), the individual who purchased it (Purchaser) agrees to abide by the terms of this Limited Use License. This Limited Use License: (1) gives Purchaser a non-exclusive, non-assignable, royalty free, perpetual, limited right to use this electronic publication only for his/her personal use; and (2) prohibits Purchaser from posting, reproducing, distributing, disseminating, transmitting, or otherwise allowing anyone else to access or use this Publication. CHA is and will be the sole and exclusive owner of all right, title, and interest, including intellectual property rights, in this Publication and its contents. CHA will strictly enforce the terms of this Limited Use License.

NOTE: Print functionality is disabled in the Individual PDF. 

Purchases that include electronic publications are not refundable.

For questions about the policy, contact Publications.

Commands