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Health Care Transactions Manual

Health Care Transactions Manual
Author: Kim Harvey Looney
Publisher:
Total Pages: 376
Release: 2020
Genre: Medical laws and legislation
ISBN: 9780769866161

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Health Care Transactions Manual

Health Care Transactions Manual
Author: Kim Harvey Looney
Publisher:
Total Pages: 0
Release: 2020
Genre: Medical laws and legislation
ISBN: 9780769865638

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

AHLA Health Care Compliance Legal Issues Manual (Non-members)
Author: American Health Lawyers Association
Publisher:
Total Pages:
Release: 2019
Genre:
ISBN: 9781522173441

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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


Healthcare Fraud

Healthcare Fraud
Author: Rebecca S. Busch
Publisher: John Wiley & Sons
Total Pages: 374
Release: 2012-05-01
Genre: Business & Economics
ISBN: 1118179803

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An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud, Second Edition provides tips and techniques to help you spot—and prevent—the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations. Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparency Offers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans Examines the necessary background that internal auditors should have when auditing healthcare activities Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read Healthcare Fraud, Second Edition and get the valuable guidance you need to help combat this critical problem.


Antitrust and Health Care

Antitrust and Health Care
Author: Christine L. White (Lawyer)
Publisher:
Total Pages: 750
Release: 2017
Genre: Antitrust law
ISBN: 9781522135210

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Legal Aspects of Health Care Business Transactions

Legal Aspects of Health Care Business Transactions
Author: Thomas William Baker
Publisher:
Total Pages: 344
Release: 2021-06-18
Genre:
ISBN: 9781732669482

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Based on decades of experience as a leading national health care attorney, the author has used this book in teaching a course on The Legal Aspects of Health Care Business Transactions in the Auburn University Physicians Executive MBA Program for over fifteen years. Hundreds of entrepreneurial physicians and health industry executives have benefitted by the clear, concise, and understandable explanation of how the statutes and regulations governing the health industry impact health industry business organizations, transactions, and governance. Not only are the sections on the Stark Law and the federal Anti-Kickback Statute incredibly informative, the book also provides general knowledge of the intersection of law and business for fundamental principles such as contracts, business organization, equity and debt financing, mergers and acquisitions, intellectual property protection, antitrust compliance, and corporate governance and fiduciary duty. Users say that the book is of immense value in navigating the changing healthcare environment and has daily practical use for any health industry enterprise. The book also facilitates communications between health care enterprises and their attorneys. You will find that your copy will quickly become dog-eared as you continually refer to the core lessons.


Healthcare Mergers and Acquisitions

Healthcare Mergers and Acquisitions
Author: Richard O. Jacobs
Publisher: Aspen Publishers
Total Pages: 0
Release: 2002
Genre: Consolidation and merger of corporations
ISBN: 9780735525238

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This valuable manual provides practical coverage of the essential elements of mergers, stock purchases and asset purchases among for-profit and non-profit health care entities. it is designed to assist attorneys seeking an overview of transaction structure and procedure, As well as experienced health care counsel who may have focused only on regulatory issues or non-profit transactions. Healthcare Mergers and Acquisitions: Physician Practices will show you the 'pros-and-cons' as well as potential pitfalls of mergers, stock purchases, acquisitions, conversion of non-profit to for-profit and alternative structures.