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Author : David E. Matyas
Publisher :
ISBN 13 : 9781422434369
Total Pages : 495 pages
Book Rating : 4.4/5 (343 download)
Download or read book Legal Issues in Health Care Fraud and Abuse written by David E. Matyas and published by . This book was released on 2006 with total page 495 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Aspen Health Law Center
Publisher :
ISBN 13 :
Total Pages : 156 pages
Book Rating : 4.0/5 ( download)
Download or read book Health Care Fraud and Abuse written by Aspen Health Law Center and published by . This book was released on 1998 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
Author : American Health Lawyers Association
Publisher :
ISBN 13 : 9781522173441
Total Pages : pages
Book Rating : 4.1/5 (734 download)
Download or read book AHLA Health Care Compliance Legal Issues Manual (Non-members) written by American Health Lawyers Association and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by experts with years of health care compliance experience, this new edition integrates changes in regulation, trends in enforcement, and the reasoning of the courts to help you navigate emerging and unsettled areas of compliance risk, such as self-disclosure obligations, risks associated with opioid use, and the impact of statistical sampling.Highlights of this edition include:All new glossary of health care compliance terms, including key statutes, acronyms, governing agencies, and moreExpanded civil monetary penalty and exclusion authorities under 2017 final rulesDiscussion of core elements of compliance programs for Medicare Advantage Plans and Part D Plans as established by federal regulationsExpanded whistleblower protections under federal and state law, false claims based on lack of medical necessity, materiality after Escobar, and recent enforcement activityExpanded discussion of determinations of medical necessity, CMS review of medical necessity terminations, consequences, and appeals processesRecent health information privacy and security developments, including new guidance, risks associated with innovative technologies, and trends in Health Insurance Portability and Accountability Act (HIPAA) enforcement activityNew chapters:Chapter 1, Glossary of Key TermsChapter 10, The Relationship between Enforcement and ComplianceChapter 17, Health Care Civil Rights and Nondiscrimination Under Section 1557 of the Affordable Care ActChapter 19, Behavioral Health
Author : Barry D. Alexander
Publisher :
ISBN 13 : 9781422489611
Total Pages : 564 pages
Book Rating : 4.4/5 (896 download)
Download or read book Fundamentals of Health Law written by Barry D. Alexander and published by . This book was released on 2011-01-01 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: This specialized and complex field of health law requires a thorough grounding in the basics, and Fundamentals of Health Law, 5th Edition, provides that grounding like no other book on the market does. This new edition has been thoroughly revised and made current to cover the basic issues of health law practice, from patient to facility issues, from permits and regulation issues to compliance and investigation issues, and includes issues raised by new laws, regulations and guidelines promulgated since the fourth edition in 2008, including the Affordable Care Act (ACA). This publication covers fundamental legal principles and issues to assist: * New Practitioners or experienced attorneys entering their first years of health-law practice; * Professors of health law searching for a comprehensive text for their students; and * Users of any law library looking for answers on the health law resource shelf.
Author : Paul W. Shaw
Publisher :
ISBN 13 : 9781663315007
Total Pages : 775 pages
Book Rating : 4.3/5 (15 download)
Download or read book Fraud and Abuse Investigations Handbook for the Health Care Industry written by Paul W. Shaw and published by . This book was released on 2021 with total page 775 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors examine each stage of a fraud and abuse investigation, beginning with an overview of federal and state enforcement agencies, and concluding with a discussion of the potential collateral consequences of an investigation. They have supplemented their analysis extensively with sample documents, including indictments, requests for records, subpoenas, internal response memoranda, and responses to auditors, prosecutors, and more. Taken together, the materials in this book provide a true Handbook for anyone who needs to quickly and thoroughly understand the complex nature of a government fraud and abuse investigation.-Preface.
Author : Robert S. Salcido
Publisher :
ISBN 13 : 9781663386311
Total Pages : 0 pages
Book Rating : 4.3/5 (863 download)
Download or read book False Claims Act & the Healthcare Industry written by Robert S. Salcido and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Charles B. Oppenheim
Publisher :
ISBN 13 : 9781522170341
Total Pages : pages
Book Rating : 4.1/5 (73 download)
Download or read book AHLA The Stark Law (Non-Members) written by Charles B. Oppenheim and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: More than a summary of the law, this new edition of an essential monograph offers in-depth critical analysis of this risky, complex area, as well as a wealth of practice pointers and advice for advising clients. Written by leading experts in the interpretation and application of Stark Law, the latest edition of The Stark Law: Comprehensive Analysis + Practical Guide offers up to date information on the following topics:The definition of entitySplit/shared evaluation and management servicesTimeshare agreementsValuing goodwill in physician practice acquisitionsJoint marketingFair market value assessments"Stand in The Shoes" when contracting with a groupWhen A collection of documents can constitute a written agreementDevelopments on the signature RequirementRevisiting fair market value over the course of a termLiability under The False Claims Act with respect to MedicaidBankruptcy trustees and Stark LawUpdates to the self-referral disclosure protocol
Author : Peter A. Pavarini
Publisher :
ISBN 13 : 9781632820686
Total Pages : 565 pages
Book Rating : 4.8/5 (26 download)
Download or read book The ACO Handbook written by Peter A. Pavarini and published by . This book was released on 2015 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Brian Dean Abramson
Publisher :
ISBN 13 : 9781663332189
Total Pages : pages
Book Rating : 4.3/5 (321 download)
Download or read book Vaccine, Vaccination, and Immunization Law written by Brian Dean Abramson and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Jennifer R. Breuer
Publisher :
ISBN 13 : 9781632813749
Total Pages : 140 pages
Book Rating : 4.8/5 (137 download)
Download or read book Telehealth Law Handbook written by Jennifer R. Breuer and published by . This book was released on 2018 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Michael F. Schaff
Publisher :
ISBN 13 : 9781522100201
Total Pages : 703 pages
Book Rating : 4.1/5 (2 download)
Download or read book Representing Physicians Handbook written by Michael F. Schaff and published by . This book was released on 2016 with total page 703 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Ela Bochenek
Publisher :
ISBN 13 : 9781522178026
Total Pages : 319 pages
Book Rating : 4.1/5 (78 download)
Download or read book Pharmaceutical and Medical Device Compliance Manual written by Ela Bochenek and published by . This book was released on 2019 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: A robust compliance program is essential to protecting a company from running afoul of the myriad laws and regulations that have been enacted to combat fraud and waste. The second edition of the Pharmaceutical and Medical Device Compliance Manual includes guidance to help companies develop a compliance program tailored to today's complex enforcement and business environment. Study of this Manual will enable compliance professionals and lawyers to understand the government's expectations of an effective compliance program and ethical business practices, as well as: how the government discovers potential enforcement actions, its approach to pursuing such actions, what behaviors can constitute mitigating factors for a company in the event of a legal violation. Coverage includes new chapters covering:Pharmaceutical industry interactions with patient organizations Compliance 2.0: compliance analytics in the era of big dataThe art and science of health care compliance in the pharmaceutical and medical device industries The Manual will be a great tool for health and life sciences attorneys, compliance officers, and others in the pharmaceutical and medical devices industry
Author : Ari J. Markenson
Publisher :
ISBN 13 : 9781641057820
Total Pages : pages
Book Rating : 4.0/5 (578 download)
Download or read book What Is the Corporate Practice of Medicine and Fee-Splitting? written by Ari J. Markenson and published by . This book was released on 2020-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Scott Becker
Publisher :
ISBN 13 : 9780769899800
Total Pages : 288 pages
Book Rating : 4.8/5 (998 download)
Download or read book Ambulatory Surgery Centers written by Scott Becker and published by . This book was released on 2014 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Timothy Smith
Publisher : BVResources
ISBN 13 : 9781621501404
Total Pages : pages
Book Rating : 4.5/5 (14 download)
Download or read book BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements written by Timothy Smith and published by BVResources. This book was released on 2017-11-11 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This new guide challenges and deconstructs the industry's current standard for the fair market value (FMV) of physician clinical compensation based on the exclusive use of survey data and certain percentile-based valuation methods. Itdebunks the current "survey says" paradigm and provides the foundation for a completely new standard for the FMV of physician clinical compensation.
Author : Mark Dietrich
Publisher : BVResources
ISBN 13 : 9781621500698
Total Pages : 1178 pages
Book Rating : 4.5/5 (6 download)
Download or read book The BVR/AHLA Guide to Healthcare Industry Finance and Valuation, Fourth Edition written by Mark Dietrich and published by BVResources. This book was released on 2016-05-16 with total page 1178 pages. Available in PDF, EPUB and Kindle. Book excerpt: The BVR/AHLA Guide to Healthcare Industry Finance and Valuation, Fourth Edition is the premier annual resource for appraisers, attorneys, and healthcare administrators involved in any healthcare valuation. Edited by renowned healthcare valuation thought leader Mark Dietrich and co-published with the American Health Lawyers Association (AHLA), this guide is an essential tool for understanding the complex relationships, changing legislation (including the Healthcare Reform Act) and other influencing factors as they relate to the value of healthcare practices and facilities.Dietrich and other top healthcare appraisal experts including Tim Smith, Greg Anderson, Todd Sorensen, Carol Carden and James Pinna, provide the latest insight with chapters covering:Applying the appropriate valuation methods for physician practices Assessing intangible value in a physician practice acquisition Valuation solutions for special situations with medical practices such as buy-ins, buy-outs, mergers, divorce and more Anti-Kickback Statute and Stark Law The healthcare economy and national health expenditures projections A valuation model for the formation of accountable care organizations And more! Learn all there is to know and gain a competitive advantage with this comprehensive guide that covers all key aspects of healthcare valuation. The new edition includes 12 new chapters and has been reorganized into major knowledge segments, including: the Healthcare Marketplace, Regulatory Considerations in Healthcare Valuation, Physician Practices, Physician Services and Hospital Relationships, and other Healthcare Enterprises.
Author : Hcca
Publisher : Aspen Publishers
ISBN 13 : 9780735570382
Total Pages : 1080 pages
Book Rating : 4.5/5 (73 download)
Download or read book The Health Care Compliance Professional's Manual written by Hcca and published by Aspen Publishers. This book was released on 2007 with total page 1080 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Care Compliance Professional's Manual gives you all the tools you need to plan and execute a customized compliance program that meets federal standards. It walks you through the entire process, start to finish, showing you how to draft compliance policies, build a strong compliance infrastructure in your organization, document your efforts, apply self-assessment techniques, create an effective education program, pinpoint areas of risk, conduct internal probes and much more. The Health Care Compliance Professional's Manual is used by the Health Care Compliance Association (HCCA) as the basic text for its Compliance Academy - the program that prepares compliance professionals for the CHC (Certificate in Healthcare Compliance) certification exam. The Health Care Compliance Professional's Manual will help you to: Use OIG publications and Federal Sentencing Guidelines to help plan and execute a customized compliance strategy that meets tough federal standards Perform risk assessment to pinpoint areas within your company that pose compliance and operational risks Draft compliance policies that form the foundation for a strong compliance program Build a strong infrastructure for compliance to work, including hiring the right personnel Create an effective education and training program that instills in employees the value of legal compliance Conduct internal probes that uncover legal violations before the federal government does - and mitigate possible penalties Stay up-to-date on all the latest legal and regulatory requirements affecting your facility, including HIPAA, EMTALA, fraud and abuse reimbursement, privacy, security, patient safety and much more! Packed with tools to make your job easier, The Health Care Compliance Professional's Manual will provide: Practical coverage of federal and state laws governing your facility Document efforts and apply self assessment techniques Insight into helpful federal standards on effective compliance programs Step-by-step guidance on implementing a sound compliance program Time-saving sample compliance policies, forms, checklists, and chart The Health Care Compliance Professional's Manual will protect your company if violations do occur: Learn how to apply auditing, monitoring, and self-assessment techniques Discover how to successfully follow the OIG's voluntary disclosure program to resolve overpayment problems and avoid exclusion from Medicare Find out how to enter into a corporate integrity agreement to settle with the federal government and mitigate FCA-related penalties Document your compliance efforts so you leave a protective paper trail that shields you from liability And much more
