New Fraud, Waste, and Abuse Policy for Hospitals and Health Systems

Let LexisNexis Practical Guidance – Healthcare continue to assist you as your healthcare organization clients build their compliance programs by using this newest template policy and procedure. Establish guidelines to prevent, detect, and respond to instances of fraud, waste, and abuse at your client’s organization. Emphasize a proactive approach to prevention using effective detection techniques. Ensure a strong reporting process through which your client can create a culture of compliance and integrity.

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Related Content

• Contract Review and Approval Policy (Hospitals and Health Systems)
  Make this new policy template, one of more than 20 on LexisNexis Practical Guidance – Healthcare, part of your client’s compliance library. Establish standardized procedures for the review, evaluation, and approval of all contracts entered by your healthcare organization clients. Ensure that all contracts executed by your clients align with their missions, values, goals, and legal obligations, and maintain your clients’ integrity, efficiency, and reputation in their contractual relationships with vendors, the community, and other parties.
• Financial Assistance Policy: Plain Language Summary (Hospitals and Health Systems)
  Pair this IRS-required notice with your healthcare organization client’s existing financial assistance policies. Explain to individuals receiving healthcare from your clients the procedures and criteria for obtaining financial assistance when they are unable to afford all or a portion of their medical bills, including the application process and required documentation.
• Hospital Transfer Agreement
  Facilitate the transfer of patients from one healthcare provider to another, unaffiliated provider for the purpose of providing medical care with this template agreement. Use this template whether your client’s healthcare organization is the transferring provider or is receiving a patient being transferred.

Practical Guidance Updates
Featuring the latest updates from your Practical Guidance account.   

• Explore the Practical Guidance Journal Spring 2024 Edition, featuring guidance on protecting attorney-client privilege and work product in a generative AI world, using AI to manage the attorney client relationship, an overview of privacy regulations in the United States, and a primer on the new Corporate Transparency Act requirements.
• Watch and learn from our collection of 750 videos, gathered conveniently in the new Practice Videos Resource Kit. Scroll through or click on your practice area to view helpful topics and important guidance.
• For related Practical Guidance content on important recent trends, please review these easy-to-use Resource Kits on a variety of emerging topics:
  • Healthcare Fraud and Abuse Compliance Resource Kit
  • Healthcare Fundamentals Resource Kit
  • Healthcare Transactions, Licensing, and Regulation Resource Kit
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• Generative Artificial Intelligence (AI) Resource Kit is a frequently updated collection of current Practical Guidance materials on generative AI, ChatGPT, and similar tools.
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