Building a Medical Practice Compliance Program
The Complete Physician Practice Compliance Reference
Building a Medical Practice Compliance Program is the definitive guide to healthcare compliance for physician practices, medical groups, compliance officers, healthcare attorneys, administrators, and healthcare executives.
From HIPAA to AI, from coding audits to government investigations—everything healthcare leaders need to build and maintain a modern compliance program.
This is a huge resource!!
Covering more than 70 chapters and dozens of medical specialties, this comprehensive resource provides practical guidance on regulatory compliance, documentation standards, auditing, investigations, HIPAA, fraud and abuse laws, telemedicine, cybersecurity, overpayments, government enforcement, and emerging healthcare risks.
Includes nearly 650 pages of compliance document, compliance policies, and forms for your compliance program.
Whether you manage a solo practice, multispecialty group, FQHC, ambulatory surgery center, or integrated healthcare organization, this book delivers a practical roadmap for building a compliance program that protects patients, promotes ethical conduct, and reduces organizational risk.
Healthcare compliance has never been more challenging.
Physician practices must navigate a rapidly evolving regulatory environment involving:
- Medicare and Medicaid requirements
- Coding and billing compliance
- Documentation standards
- HIPAA privacy and security
- Telemedicine
- Remote patient monitoring
- Artificial intelligence
- Fraud and abuse laws
- Government investigations
- Quality reporting
- Cybersecurity threats
Unfortunately, many organizations still approach compliance as a checklist exercise.
Building a Medical Practice Compliance Program provides a comprehensive framework for creating a compliance program that functions as a strategic organizational asset rather than merely a regulatory requirement.
Inside this comprehensive guide, readers will learn how to:
- Build an effective compliance program from the ground up
- Conduct risk assessments
- Develop policies and procedures
- Train physicians and staff
- Conduct internal audits
- Respond to payer audits
- Manage overpayments and self-disclosures
- Handle government investigations
- Implement crisis management procedures
- Address specialty-specific compliance risks
- Prepare for emerging regulatory trends
- Build a compliance program for the next decade
The book includes detailed compliance guidance for numerous specialties including:
- Family Medicine
- Internal Medicine
- Cardiology
- Orthopedics
- General Surgery
- Neurosurgery
- Gastroenterology
- Dermatology
- Ophthalmology
- Urology
- OB/GYN
- Psychiatry
- Behavioral Health
- Neurology
- Pain Management
- Emergency Medicine
- Anesthesiology
- Radiology
- Oncology
- Physical Medicine & Rehabilitation
- ENT
- Plastic Surgery
And more.
Whether you are creating your first compliance program or enhancing an existing one, this book provides practical strategies, real-world guidance, auditing frameworks, training recommendations, and leadership tools designed for modern healthcare organizations.
For detailed biographical information, visit physicianslawyers.com