Health Care Safety » Health Care Fraud
The following are related categories found throughout the Libraries and Directories. Please click on the category to visit that category - a new browser window will open. Each library requires a seperate subscription.
- General Business / Ethics : Business ethics and codes, samples, guidance to ethical decision making
Corporate code of ethics examples, voluntary business codes, business values and morals, guide to ethical decision making.
- Health / Ethics in Medicine : Ethical, professional and public policy statements for health care
Position statements and guidelines. Codes of conduct. Recommendations for health care professionals on ethical considerations in the business aspects of health care. Ethical, professional and public policy statements for health care. End of life issues. Cloning. Bioethics. Physician assisted suicide.
- Health / Fraud : DHHS OIC compliance program, health care fraud, physician fraud, etc.
Department of Health and Human Services Office of Inspector General (OIG) provider compliance program guides. Database of Office of Audit Services (OAS) audit reports. Report on insurance fraud perpetrated by medical providers, primarily medical clinics. Fact sheets on health care fraud, physician fraud, patient lies, etc.
- Health / Medical Center Mgt : Handbooks for medical staff and patients, departmental resources
Full text of a medical staff handbook and of a patient handbook in use by the National Institute of Health. Medical department intranet websites. Medical records management.
- Health / Privacy : Medical record privacy, patient confidentiality, etc.
Confidentiality of medical information and patient records. Checklist for monitoring alcohol & other drug confidentiality compliance. Guidelines for employers regarding confidentiality of health information. Principles for health information privacy.
- Legal / Health Law : Case developments, articles, resources related to medical law
Law and the physician, medicine and law, medical liability, etc. Resources, cases, statutes, memos and articles on health law. Latex allergy litigation.
- Managed Care / Liability : Guidelines to physicians about liability in managed care
Various resources assist the physician in understanding liability in managed care. The Health Administration Responsibility Project (HARP) - seeks to establish liability of managed healthcare organizations for consequences of their decisions. MCO's - the rules are changing for managed care liability.
- Managed Care / Practice Management : Resources on how managed care affects a physician's practice
Online tutorials for healthcare professionals on how to manage managed care. Examples: Guidance on how a physician can avoid being deselected from health plans. Physician profiling and how it can affect a physician's practice. Expediting MCO Payments. Understanding capitation contracts and stop loss. Full text of the fill-in-the-blanks AMA Model Managed Care Medical Services Agreement.
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Risk Mgt / Fraud : Insurance fraud, lawyer fraud, red flags, etc.Information on fraudulent claims. Red flags. Property insurance fraud. Attorney fraud. Tips on how to make best use of video surveillance. Insurance fraud recognition.
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Risk Mgt / Medical Liability : Medical malpractice, risk management in medicine, insurance, etc.Medical professional liability exposures. Tips to prevent malpractice claims. Handbook on risk management for physicians. State-specific legislative information. Series of risk management forms and letters available for download. Answers to common questions about the release of medical records. Emergency room risk management. Series of articles on risk management and medical professional liability.
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Safety / Medical Devices : FDA regulatory guidance for manufacturers of medical devicesUS Food and Drug Administration guidance on the CDRH requirements related to medical device manufacturing safety requirements - recalls, reporting, quality, use errors, etc. Various inspection guides used by FDA field staff for audits. Mammography facility regulatory guidance.
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Safety / Patient Safety : Medical errors, medication errors, patient safety guidanceJCAHO Sentinel Events. Medication Error Prevention Programs. Medical Error Reporting. Guidance regarding patient safety.
- Security / Fraud : Consumer fraud guides, scam & fraud information, statistics, mail fraud & more
Consumer fraud topics and warnings. US mail fraud. Association of Certified Fraud Examiners. Fight telemarketing and internet fraud. Social security fraud.
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Workers Comp / Fraud : Information on Workers Compensation fraudFull text of a training manual on fighting workers compensation fraud. Statistics, guidelines to spot WC fraud, case studies of fraud, etc.
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Insurance Loss Control / Insurance Fraud : Insurance fraud, lawyer fraud, red flags, etc.Information on fraudulent claims. Red flags. Property insurance fraud. Attorney fraud. Tips on how to make best use of video surveillance. Insurance fraud recognition.
- Security / Fraud : Consumer fraud guides, scam & fraud information, statistics, mail fraud & more
Consumer fraud topics and warnings. US mail fraud. Association of Certified Fraud Examiners. Fight telemarketing and internet fraud. Social security fraud.
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Workers Compensation / WC Fraud : Information on Workers Compensation fraudFull text of a training manual on fighting workers compensation fraud. Statistics, guidelines to spot WC fraud, case studies of fraud, etc.
- Employment Law / Health Privacy : Medical record privacy, patient confidentiality, etc.
Confidentiality of medical information and patient records. Checklist for monitoring alcohol & other drug confidentiality compliance. Guidelines for employers regarding confidentiality of health information. Principles for health information privacy.
- HR Profession / Business Ethics : Business ethics and codes, samples, guidance to ethical decision making
Corporate code of ethics examples, voluntary business codes, business values and morals, guide to ethical decision making.
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