Links to Compliance Resources

Here are a list of links to other sites which may be of interest of you

Please note: The Websites on this list are not necessarily affiliated with HCCA. We list them here for your convenience only.

PDF documents are viewable with a FREE Acrobat Reader from Adobe

Forbes Top 100 Codes of Conduct 1-50   51-100

The Health and Human Services' Office of Inspector General has developed compliance program guidance for the health care industry. Here is the OIG Compliance Program Guidance for Research Organizations

Click on the following Web addresses to access the OIG's compliance guidance documents for

• Hospitals: http://oig.hhs.gov/authorities/docs/cpghosp.pdf
• Clinical Laboratory: http://oig.hhs.gov/authorities/docs/cpglab.pdf
• Home Health Care: http://oig.hhs.gov/authorities/docs/cpghome.pdf
• Third-party Billers: http://oig.hhs.gov/fraud/docs/complianceguidance/thirdparty.pdf
• Physician: http://oig.hhs.gov/authorities/docs/physician.pdf
• Nursing Homes: http://oig.hhs.gov/authorities/docs/cpgnf.pdf
• Providers of Medical Equipment & Supplies http://oig.hhs.gov/authorities/docs/frdme.pdf
• Medicare + Choice Draft Guidanc http://oig.hhs.gov/fraud/docs/complianceguidance/111599.pdf
• Open Letter: Voluntary Disclosure
• Provider Self-Disclosure Protocol

Other OIG Documents of Interest:

• OIG Alert: Gifts and Inducements
• OIG Reports
• Gainsharing Arrangements and CMP’s for Hospital Payments to Physicians to Reduce or Limit Services to Beneficiaries  >(7/8/99)
• OIG Letter Concerning hospital - physician incentive plans for medicare and medicaid beneficiaries enrolled in managed care plans >(9/1/99)
• OIG Advisory Bulletin
• OIG Fraud Alerts
• IG Rhenquist: Open Letter to Health Care Providers
• Safe Harbor Regulations
• United Hospital v. Thompson 

Government Websites:

Senator Grassley’s September 26 letter to Tenet Healthcare Corporation

In at letter from U.S. Senator Chuck Grassley to Tenet Healthcare dated September 5 the Senator wrote:  
“ It doesn't take a pig farmer from Iowa to smell the stench of conflict in that arrangement.” 
Click here to read the complete letter: 
http://grassley.senate.gov/releases/2003/p03r09-08.htm

• CMS Regulations
• Nursing Home Prospective Payment System
• The HHS HIPAA Privacy Regulations Fact Sheet is available. Also the HHS HIPAA privacy regulations announcement is available on their Website.
• DOJ Health Care Antitrust Statements of Enforcement Policy: Current as of 4/19/2000
• CFA Site on Skilled Nursing Facility (SNF) Prospective Payment System (PPS) and Consolidated Billing
• U.S. Government Printing Office (Resources available at the government printing office.)
• Gov.Research_Center: NTIS Database (National Correct Coding Initiative)
• MEDICARE MANUAL (Medicare Hospital Manual)
• HOME PAGE : U.S. Department of Health and Human Services (US Department of Health and Human Services)
• Advisory Opinions
• Fighting Fraud and Abuse
• Federal Register
• Medicare/Medicaid Program Manuals
• IGnet ---- Internet for the Federal Inspector
• HHS/OIG-Office of Audit Services (OAS)
• Clinical Laboratory Improvement Amendments (CLIA) (CLIA information)
• House Budget Committee's Home Page (Budget information)
• U.S. Department of Justice (The US Department of Justice home page)
• U.S. Department of Health & Human Services’ (HHS) Office for Civil Rights (OCR)
• OIG Home Page
• Texas Medical Foundation
• HIPAA — Health Insurance Portability and Accountability Act
• The Department of Labor - COBRA continuation coverage

HIPAA Privacy Regulation Websites:

• Medical Record Privacy
• Office of Civil Rights
• HHS Press Release on HIPAA Privacy Rule
• HIPAAcomply - Frequently Asked Questions and more
• Georgetown Privacy Project
• More HIPAA Links

Associations:

• Alaska State Hospital and Nursing Home Association
• North Texas Healthcare Compliance Professionals Association
• Ethics Officer Association
• AAPC (American Academy of Professional Coders)
• American College of Emergency Physicians (ACEP) Home Page - ACEP Online
• Healthcare Billing & Management Association (HBMA)
• HIMA Home Page - American Health Information Management Association
• American Hospital Association - Home Page
• American Medical Association
• Association of American Medical Colleges
• HFMA Home Page (Healthcare Financial Management Association)
• International Billers Association - Public Site
• Medical Group Management Association--MGMA Online

Compliance Program Websites:

• AAMC Research Compliance Information  
• Baptist Health Center Corporate Compliance Program 
• Creighton University Health Services Compliance Program 
• Fairview - Compliance Program   
• HCA - The Healthcare Company/Home Page 
• Medical College of Wisconsin Compliance Office 
• Mercy Health System Code of Conduct 
• Thomas Jefferson University Home Page 
• University of Florida School of Medicine Compliance Program 
• University of Medicine and Dentistry Compliance Program - New Jersey 
• University Medical Associates Compliance Program   
• University of Pennsylvania Compliance Program  
• University of Rochester Medical Center Compliance Program 
• University of Texas Health Science Center Compliance Program   
• University of California, Davis Compliance Program