Risk Management & Insurance Industry - Knowledge & Resource Center

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GCat: Risk Mgt, Claims & Ins
MCat: Risk Mgt
Cat: Medical Liability

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The Business Library

Business Management / Business Ethics

Guides to ethical decision making. Corporate code of ethics examples, voluntary business codes, business values and morals, guide to ethical decision making.


Updated Corporate Law / Health Law

Medical malpractice law and information. 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.


Employee Health / Health Privacy

Guidelines for employers regarding confidentiality of health information. Confidentiality of medical information and patient records. Checklist for monitoring alcohol & other drug confidentiality compliance. Principles for health information privacy.


Health Cost Management / Practice Management

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. Sample managed care contract. Capitation contracts.


Insurance / Malpractice Insurance

Series of articles on risk management and medical professional liability. 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.


Workplace Safety / Medical Devices

Various inspection guides used by FDA field staff for audits. Mammography facility regulatory guidance. US Food and Drug Administration guidance on the CDRH requirements related to medical device manufacturing safety requirements - recalls, reporting, quality, use errors, etc.


Workplace Safety / Patient Safety

Guidance regarding patient safety. JCAHO Sentinel Events. Medication Error Prevention Programs. Medical Error Reporting.


The HR Library

Workers Compensation / WC Fraud

Workers compensation fraud reference materials


The Safety Library

Health Care Safety / Accreditation

American Accreditation HealthCare Commission, Joint Council for the Accreditation of Hospitals Organizations, Community Health Accreditation Program, Joint Commission International Accreditation, NCQA, and more.


Health Care Safety / Health Care Fraud

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 Care Safety / Hospital Safety

The full text of sample safety programs - majority are university medical center programs currently in use. Eliminating pollution from health care practices, plans for mercury elimination, use of incinerators, etc


Health Care Safety / Malpractice

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.


Health Care Safety / Medical Devices

US 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.


Health Care Safety / Patient Confidentiality

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.


Health Care Safety / Patient Safety

JCAHO Sentinel Events. Medication Error Prevention Programs. Medical Error Reporting. Guidance regarding patient safety.


Insurance Loss Control / Insurance Fraud

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 topics and warnings. US mail fraud. Association of Certified Fraud Examiners. Fight telemarketing and internet fraud. Social security fraud.


Workers Compensation / WC Fraud

Full 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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