AHLA Legal Issues in Health Care Fraud and Abuse (AHLA Members)

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ISBN 13 : 9780769881591
Total Pages : pages
Book Rating : 4.8/5 (815 download)

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Book Synopsis AHLA Legal Issues in Health Care Fraud and Abuse (AHLA Members) by : Laura F. Laemmle-Weidenfeld

Download or read book AHLA Legal Issues in Health Care Fraud and Abuse (AHLA Members) written by Laura F. Laemmle-Weidenfeld and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This completely updated fifth edition offers broad coverage of the full range of U.S. fraud and abuse prohibitions, with practical application for your work in health care today. Completely updated to address the latest trends in investigation, enforcement, and interpretations of the law, this edition of Legal Issues in Health Care Fraud and Abuse addresses the sweeping changes seen in the health care industry since the previous edition, with over 600 pages of expert explanations and fully referenced real-world examples.With in-depth coverage of the Anti-Kickback Law, Stark Law, False Claims Act, and more, this book is a necessity for anyone who needs to understand the intricacies of how fraud and abuse laws are structured and enforced in the health care context, providing a foundation for your work in health law:How health care is regulated in the United StatesHow fraud and abuse laws are enforced by federal and state entitiesPractical advice on assessing and addressing riskGuidance on navigating relationships with the agencies and individuals enforcing the law's prohibitionsAs health care and society evolve, so too does fraud and abuse law and governmental enforcement activity. Since the previous edition of this book, the risks relating to fraud and abuse have evolved significantly, for reasons ranging from the proliferation of health care data, to the expansion of the use of technology in health care, to changes in the regulatory scheme resulting from the shift toward value-based payment. Every chapter analyzes the impact of these changes.

Legal Issues in Healthcare Fraud and Abuse

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ISBN 13 : 9780769881584
Total Pages : 646 pages
Book Rating : 4.8/5 (815 download)

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Book Synopsis Legal Issues in Healthcare Fraud and Abuse by : Laura F. Laemmle-Weiderfeld

Download or read book Legal Issues in Healthcare Fraud and Abuse written by Laura F. Laemmle-Weiderfeld and published by . This book was released on 2020 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Legal Issues in Health Care Fraud and Abuse

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ISBN 13 : 9781422434369
Total Pages : 495 pages
Book Rating : 4.4/5 (343 download)

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Book Synopsis Legal Issues in Health Care Fraud and Abuse by : David E. Matyas

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:

Legal Issues in Health Care Fraud and Abuse

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Publisher : American Hospital Association
ISBN 13 : 9780918945198
Total Pages : 403 pages
Book Rating : 4.9/5 (451 download)

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Book Synopsis Legal Issues in Health Care Fraud and Abuse by : Carrie Valiant

Download or read book Legal Issues in Health Care Fraud and Abuse written by Carrie Valiant and published by American Hospital Association. This book was released on 1997-01-01 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book navigates the reader through federal health care program anti-kickback statutes, federal physician self-referral prescriptions, false claims and other fraudulent billing activities. It covers fraud and abuse issues that arise in managed care state and private health care fraud initiatives, patient transfers, and procedural issues in health care investigations enforcement.

Health Care Fraud and Abuse

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ISBN 13 :
Total Pages : 156 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Health Care Fraud and Abuse by : Aspen Health Law Center

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.

Health Care Fraud and Abuse

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Publisher : Bna Books
ISBN 13 : 9781570186622
Total Pages : 913 pages
Book Rating : 4.1/5 (866 download)

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Book Synopsis Health Care Fraud and Abuse by : Linda A. Baumann

Download or read book Health Care Fraud and Abuse written by Linda A. Baumann and published by Bna Books. This book was released on 2007 with total page 913 pages. Available in PDF, EPUB and Kindle. Book excerpt: Baumann (of Arent Fox LLP in Washington, DC) presents a general information reference resource for attorneys working in the field of health law that has been revised so as to be current through May 2007, although some material has been updated past that date in order to cover significant new developments, such as the new Stark III regulations issued in September 2007. Following the introduction, nine chapters address federal physician self-referral restrictions; application of the substantive, qui tam, and voluntary disclosure provisions of the False Claims Act in health care prosecutions; practical considerations for defending health care fraud and abuse cases; legal issues surrounding hospital and physician relationships; risk areas in managed care fraud and abuse for government program participants; corporate compliance programs; potential liabilities for directors and officers of health care organizations; disclosure of qui tam suits and investigations; and control of fraud, waste, and abuse in the Medicare Part D Program.

Legal Issues in Healthcare Fraud and Abuse

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Publisher :
ISBN 13 : 9780769854632
Total Pages : 602 pages
Book Rating : 4.8/5 (546 download)

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Book Synopsis Legal Issues in Healthcare Fraud and Abuse by : David E. Matyas

Download or read book Legal Issues in Healthcare Fraud and Abuse written by David E. Matyas and published by . This book was released on 2012 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Legal Issues in Health Care Fraud and Abuse

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Publisher : American Health Lawyers Association
ISBN 13 : 9780918945167
Total Pages : 267 pages
Book Rating : 4.9/5 (451 download)

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Book Synopsis Legal Issues in Health Care Fraud and Abuse by : Carrie Valiant

Download or read book Legal Issues in Health Care Fraud and Abuse written by Carrie Valiant and published by American Health Lawyers Association. This book was released on 1994 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Legal Issues in Healthcare Fraud and Abuse

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Publisher :
ISBN 13 : 9780769854632
Total Pages : 602 pages
Book Rating : 4.8/5 (546 download)

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Book Synopsis Legal Issues in Healthcare Fraud and Abuse by : David E. Matyas

Download or read book Legal Issues in Healthcare Fraud and Abuse written by David E. Matyas and published by . This book was released on 2012 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Trois articles du R.P. Félix...

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Publisher :
ISBN 13 :
Total Pages : 54 pages
Book Rating : 4.:/5 (457 download)

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Book Synopsis Trois articles du R.P. Félix... by :

Download or read book Trois articles du R.P. Félix... written by and published by . This book was released on 1851 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managing Legal Compliance in the Health Care Industry

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Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449639658
Total Pages : 598 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Managing Legal Compliance in the Health Care Industry by : George B. Moseley III

Download or read book Managing Legal Compliance in the Health Care Industry written by George B. Moseley III and published by Jones & Bartlett Publishers. This book was released on 2013-09-20 with total page 598 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Legal Compliance in the Health Care Industry is a comprehensive text that prepares students for this increasingly critical field in health care administration. In three sections, this unique title first examines all the key laws and regulations that health care organizations must comply with. In section two, it explores in detail the seven essential ingredients for a good compliance program. In the final section, the book explains how the compliance program must be adapted to the special needs of different types of health care organizations. Designed for graduate level students in programs of public health, health administration, and law, the text is filled with highly practical information about the ways that legal violations occur and how good compliance programs function. Key Features: - Examines in detail the current laws and regulations with which all types of health care organizations must comply - Explore the seven essential ingredients for a good compliance program - Looks at compliance programs within twelve different types of health care organizations - References real world cases of fraud and abuse - Includes Study Questions and Learning Experiences in each chapter that are designed to encourage critical thinking

Health Care Fraud

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Publisher : Law Journal Press
ISBN 13 : 9781588520739
Total Pages : 1308 pages
Book Rating : 4.5/5 (27 download)

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Book Synopsis Health Care Fraud by : Robert Fabrikant

Download or read book Health Care Fraud written by Robert Fabrikant and published by Law Journal Press. This book was released on 2023-12-28 with total page 1308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Fraud: Enforcement and Compliance focuses on fraud and abuse issues involving health care providers as well as application of the laws governing fraud and abuse to manufacturers of drugs and medical devices and other non-providers such as medical researchers.

Health Care Fraud and Abuse

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Publisher : American Medical Association Press
ISBN 13 :
Total Pages : 452 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Care Fraud and Abuse by : Hoyt W. Torras

Download or read book Health Care Fraud and Abuse written by Hoyt W. Torras and published by American Medical Association Press. This book was released on 2003 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide for physicians covering the legal aspects of health insurance and offers ways to design an effective billing, coding, and accounts receivable process.

AHLA Health Care Compliance Legal Issues Manual (Non-members)

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ISBN 13 : 9781522173441
Total Pages : pages
Book Rating : 4.1/5 (734 download)

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Book Synopsis AHLA Health Care Compliance Legal Issues Manual (Non-members) by : American Health Lawyers Association

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

Contemporary Issues in Healthcare Law and Ethics

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Publisher : Health Administration Press
ISBN 13 :
Total Pages : 456 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Contemporary Issues in Healthcare Law and Ethics by : Dean M. Harris

Download or read book Contemporary Issues in Healthcare Law and Ethics written by Dean M. Harris and published by Health Administration Press. This book was released on 2003 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt:

AHLA Healthcare Compliance Legal Issues Manual (Non-Members)

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Publisher :
ISBN 13 : 9781632816436
Total Pages : pages
Book Rating : 4.8/5 (164 download)

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Book Synopsis AHLA Healthcare Compliance Legal Issues Manual (Non-Members) by :

Download or read book AHLA Healthcare Compliance Legal Issues Manual (Non-Members) written by and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: As the world of health care compliance continues to evolve, so do the potential ramifications for everyone in the healthcare arena. State and federal governmental agencies continue to pursue large recoveries through litigation and settlements against those who don't have effective compliance plans. In fact, the Federal Government announced it had recovered over $4 billion from healthcare providers for Medicare and Medicaid fraud in 2010 alone.This new edition of Health Care Compliance Legal Issues Manual provides a comprehensive overview of the legal issues that create the foundation for healthcare compliance programs, and affect every aspect of these programs. The Manual addresses important topics such as what a compliance program is, how to conduct internal investigations, audit basics, what to consider prior to deciding on repayments and disclosures, substantive overviews of the false claims act, the Stark and Anti-kickback laws, HIPAA privacy and security, issues in life sciences entities, tax compliance, and many othersHighlights of this new edition include:A discussion of the Sunshine Act's reporting requirements for drug and device companiesHHS' Healthy People 2020 initiativeAnalysis of the fraud and abuse provisions in the Patient Protection and Affordable Care Act (ACA)Compliance program requirements for all providers and suppliers as a condition of enrollment in MedicareChanges to the Federal Sentencing GuidelinesNew HIPAA security and privacy enforcement measuresSarbanes-Oxley compliance standards

Health Insurance

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Publisher :
ISBN 13 :
Total Pages : 16 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Health Insurance by : Janet Shikles

Download or read book Health Insurance written by Janet Shikles and published by . This book was released on 1992 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: