decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Compliance / Overview
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Article Overview
This article introduces major health care compliance topics for coders, physicians, and practice staff. It discusses the broader enforcement environment, the expansion of audit activity, and the main subject areas covered in the chapter, including fraud and abuse, HIPAA privacy and security, code set and transaction standards, Stark self-referral concerns, and related antitrust considerations.
Why This Topic Matters
Compliance affects day-to-day documentation, coding, record handling, and practice operations. The article helps readers understand the scope of current enforcement focus and the categories of regulatory issues they may need to monitor.
What You Will Learn
- How the article frames current health care compliance concerns
- Which broad compliance subject areas the chapter focuses on
- Why audit and enforcement activity is relevant to medical practices
- What general regulatory domains are included in the overview
Who Should Read This
- Medical coders
- Physicians
- Practice managers
- Compliance staff
- Health care administrators
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