RESOURCES

NEW! Compliance Officer Tool Kit

This tool kit gives every compliance officer the tools to take their compliance program to the next level!  Sample policies and procedures specific to high risk compliance areas such as Acceptance of Business Courtesies, Breach Notification, Physician Referrals & Kickbacks, sample auditing and monitoring plans, compliance scorecards and MORE!

Compliance Self Assessment Tool

Designed to help identify gaps in a hospital’s compliance program, this assessment also diagnoses possible exposure to compliance violations and assesses hospital wide involvement in compliance. It is intended to help you gain a preliminary understanding of your compliance programs and potential exposure; QHR can use this tool to identify solutions to help you increase compliance and reduce risk.

Health Care Organization Legal Compliance Program Development Guide

Sample templates for Board Resolution, Policy Statement, Organization Policy Manual, guidance on general employee training, signoffs for employees, vendors, etc. can be used to kick off your compliance program.

Tactical Strategy for Compliance Program Review

Sample templates, forms, policies and procedures, as well as interactive links to the actual regulatory documents that require or address a particular rule or regulation, allow you to evaluate your program’s completeness and effectiveness.

Laboratory Billing Compliance Program Development Guide

Sample templates, forms, policies and procedures designed to assist you in developing your own hospital lab billing compliance program, or review and update your existing program.

Home Care Compliance Program Development Guide

Sample templates, forms, policies and procedures to help your home health, hospice, durable medical equipment, or private service and infusion facility with its compliance program.

Marketing and Public Relations Compliance Program Development Guide

Sample templates, forms, policies and procedures to help with marketing-related compliance concerns.

Cost Report Compliance Program

Federal, state and local regulations and guidelines and other materials to assist you in developing your cost report compliance program.

Community Health Benefit Programs – Serving the Uninsured

Sample templates, forms, tools and resources to assist you in developing a Community Health Benefit Program (a.k.a. charity care).

Waivers & Discounts, FAQs

A resource to use in maintaining your hospital’s billing policies, procedures and processes related to waivers and discounts.

EMTALA Compliance Program Development Guide

Sample templates, forms, policies and procedures that will assist your hospital with your EMTALA compliance program.

SERVICES

NEW!  Compliance Insider Channel

Go to http://www.theqsphere.com and register to be a member!  Access to compliance commentary and frequently asked questions about hot topics in the compliance industry gives your organization the ability to stay on top of changes in the regulatory environment and networking with other compliance professionals.

NEW! Compliance Assessment

This assessment is a desktop analysis of compliance documents including, but not limited to charter, code of conduct, policies, procedures, training material, organizational charts, committee minutes, and job descriptions.

NEW! Compliance Support & Education

Access to compliance practice experts via electronic mail and telephone.  This service includes, research and compilation of regulatory guidance, sample forms, tools, and policies.

NEW! Compliance Education (On Site)

This comprehensive education program , that targets the key elements of a compliance program, HIPAA Privacy and Security rules, and the key elements of a broad range of other compliance topics, will demonstrate the compliance industry’s best practices through the use of case studies, round table discussion, as well as question and answer sessions.

NEW! Board of Trustees Education (On Site)

This comprehensive education program provides an in depth analysis of the board member’s oversight responsibilities related to hospital compliance activities.  Fiduciary duties, including duty of care are explained along with information outlined by the Office of the Inspector General and American Health Lawyers Association, and current case law describing board member liability.

NEW! Compliance Implementation Assistance

Compilation of a comprehensive compliance program includes: drafting of a facility code of conduct, policy and procedure manual, job descriptions, training materials, forms, auditing plans, and communication logs specific to the organization.

NEW! Compliance Program Review (On Site)

The on site compliance program review includes three phases: Phase I – Review of compliance documents prior to on-site visit including, but not limited to charters, committee meeting minutes, and job descriptions.  Phase II – On site interviews with the compliance committee, executive team, board members, and key staff members.  Review of business processes and compliance program objectives to determine gaps, weaknesses and strengths of the program.  Phase III – Record of findings and formal report to management, Board, or legal counsel as appropriate, by means of an Executive Summary, Findings and Recommendations Report, and Management Action Plan.

NEW! Certification of Compliance Agreement and Corporate Integrity Agreement Reviews

The Certification of Compliance and Corporate Integrity Agreement Review includes all of the components noted in the Compliance Program Review (On Site) listed above along with additional integrity requirements and declarations as required by your organizations contract with the OIG.