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Appendix A Acronyms 185
Costs Associated with the Plan
28 other sections not shown
Advance Beneficiary Notices ance anonymity appropriate audit billing practices chart Clinic commitment to compliance communication compli compliance issues compliance officer compliance plan compliance program copayments cost determine develop diagnosis diagnosis code documentation durable medical equipment e-mail effective compliance employees ensure established example False Claims Act federal health FEDERAL SENTENCING GUIDELINEs Figure fraud and abuse HCFA health care fraud health care programs HIPAA hiring hospital hotline identified implement incident investigation kickbacks Medi Medicaid medical necessity medical records Medicare ment mid-level providers monitoring open door policy organization oversee patient payer payment penalties performed person Physician Self-Referral physicians pliance plan policies and procedures prac practice may want practice's precertification provider number questions referrals refund report misconduct reporting mechanism reporting method responsible risk areas sicians staff members standards of conduct Stark laws Step suspected misconduct tice tion training program violation whistleblower suits written policies