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| Author | : Dinetia Newman |
| Publisher | : |
| Total Pages | : 828 |
| Release | : 2016 |
| Genre | : Health lawyers |
| ISBN | : 9781632813480 |
| Author | : Dinetia Newman |
| Publisher | : |
| Total Pages | : |
| Release | : 2016 |
| Genre | : |
| ISBN | : 9781632813770 |
The tremendous growth of hospitals and health systems in the United States was spurred on after World War Two with passage of the Hill-Burton Act, which funded the construction of new facilities, and the Social Security Act of 1965, which established Medicare and Medicaid and greatly expanded the number of people who have some form of health insurance. The universe of hospitals and health systems began to grow and evolve, and continues to do so. This new Handbook examines the multitude of issues that those who represent hospitals and health system need to be informed about but will also be a critical guide for those who represent physicians, diagnostic imaging facilities, other health care facilities, as well as financial institutions.Coverage Includes: Establishment of facilities; State licensing requirements; Certification process; Payment methodologies; State and Federal fraud and abuse regulations; and Operational issues, including patient relations, privacy, grievance rights, and consent to treatmentAll health attorneys and others in the health care field who need to understand the intricacies and complexities of hospitals and health systems will find Representing Hospitals and Health Systems Handbook, First Edition an indispensable resource.
| Author | : Peter A. Pavarini |
| Publisher | : |
| Total Pages | : 565 |
| Release | : 2015 |
| Genre | : Accountable care organizations (Medical care) |
| ISBN | : 9781632820686 |
| Author | : Barry D. Alexander |
| Publisher | : |
| Total Pages | : 564 |
| Release | : 2011-01-01 |
| Genre | : Medical care |
| ISBN | : 9781422489611 |
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 | : Christine L. White (Lawyer) |
| Publisher | : |
| Total Pages | : 629 |
| Release | : 2013 |
| Genre | : Antitrust law |
| ISBN | : 9780769865560 |
| Author | : Dinetia Newman |
| Publisher | : |
| Total Pages | : |
| Release | : 2016 |
| Genre | : Health lawyers |
| ISBN | : 9781632813763 |
The tremendous growth of hospitals and health systems in the United States was spurred on after World War Two with passage of the Hill-Burton Act, which funded the construction of new facilities, and the Social Security Act of 1965, which established Medicare and Medicaid and greatly expanded the number of people who have some form of health insurance. The universe of hospitals and health systems began to grow and evolve, and continues to do so. This new Handbook examines the multitude of issues that those who represent hospitals and health system need to be informed about but will also be a critical guide for those who represent physicians, diagnostic imaging facilities, other health care facilities, as well as financial institutions.Coverage Includes: Establishment of facilities; State licensing requirements; Certification process; Payment methodologies; State and Federal fraud and abuse regulations; and Operational issues, including patient relations, privacy, grievance rights, and consent to treatmentAll health attorneys and others in the health care field who need to understand the intricacies and complexities of hospitals and health systems will find Representing Hospitals and Health Systems Handbook, First Edition an indispensable resource.
| Author | : American Health Lawyers Association |
| Publisher | : |
| Total Pages | : |
| Release | : 2019 |
| Genre | : |
| ISBN | : 9781522173441 |
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 | : American Society for Healthcare Risk Management (ASHRM) |
| Publisher | : John Wiley & Sons |
| Total Pages | : 672 |
| Release | : 2009-03-27 |
| Genre | : Medical |
| ISBN | : 0470443715 |
Risk Management Handbook for Health Care Organizations, Student Edition This comprehensive textbook provides a complete introduction to risk management in health care. Risk Management Handbook, Student Edition, covers general risk management techniques; standards of health care risk management administration; federal, state and local laws; and methods for integrating patient safety and enterprise risk management into a comprehensive risk management program. The Student Edition is applicable to all health care settings including acute care hospital to hospice, and long term care. Written for students and those new to the topic, each chapter highlights key points and learning objectives, lists key terms, and offers questions for discussion. An instructor's supplement with cases and other material is also available. American Society for Healthcare Risk Management (ASHRM) is a personal membership group of the American Hospital Association with more than 5,000 members representing health care, insurance, law, and other related professions. ASHRM promotes effective and innovative risk management strategies and professional leadership through education, recognition, advocacy, publications, networking, and interactions with leading health care organizations and government agencies. ASHRM initiatives focus on developing and implementing safe and effective patient care practices, preserving financial resources, and maintaining safe working environments.
| Author | : |
| Publisher | : |
| Total Pages | : |
| Release | : 2016 |
| Genre | : |
| ISBN | : 9780327178552 |
In March 2012, the Federal Trade Commission (FTC) ordered two hospitals to unwind the merger that they had previously agreed to, and a month later in April a United States District Court temporarily blocked the merger of two hospitals pending FTC administrative proceedings challenging the merger. These are two recent examples of how antitrust laws can affect business deals in the healthcare industry. Whether you are in-house counsel with a healthcare organization, a healthcare attorney not generally involved with antitrust issues, or even one more familiar with how antitrust issues impact healthcare organizations, you will benefit from this handy guide to what is and isn't allowed in the healthcare antitrust context.Coverage includes:When is it permissible to talk to a competitor about merging and what information can be shared?How do federal antitrust agencies determine when to challenge mergers?How can you take advantage of the immunity protection of the Health Care Quality Improvement Act of 1986 (HCQIA) in credentialing matters?When are exclusive contracts with primary payers permissible?What authority do state attorneys general have to investigate federal antitrust violations?In addition, the questions and answers are bolstered by extensive footnotes to aid the reader in further expanding their research into each area of coverage.Mark L. Mattioli, Esquire, Project ChairAUTHORS: Alexander M. McIntyre, Jr., Esquire, Stephen P. Murphy, Esquire, David M. Narrow, Esquire, Patricia M. Wagner, Esquire, Hillary A. Webber, EsquireEDITORS: David A. Argue, Ph.D., Saralisa C. Brau, Esquire, Christi J. Braun, Esquire, Joseph M. Miller, EsquireThe eBook versions of this title feature links to Lexis Advance for further legal research options.
| Author | : |
| Publisher | : |
| Total Pages | : |
| Release | : 2016 |
| Genre | : |
| ISBN | : 9781632816436 |
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
