Ancillary Providers in Health Care (AHLA Members) PDF Download
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ISBN: 9781632827937
Category :
Languages : en
Pages :
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Book Description
The increase in the number of insured individuals due to the Affordable Care Act has led hospitals and medical practices to increase their use of non-physician clinicians to lessen the burden created by the increase. Nurse practitioners and physician assistants are increasingly deployed to address a host of issues, from the inadequate number of primary care physicians and underserved populations with greater needs for primary care services to demands for cost effectiveness and greater patient satisfaction. There are major differences between state laws governing nurse practitioners and physician assistants. Health systems, other health care facilities, and medical practices need to understand these differences if they wish to make use of these and other ancillary providers (APs). Ancillary Providers in Health Care: A Primer can help guide you as you advise your clients on their state's regulations.Coverage includes:Scope of practice for nurse practitioners and physician assistantsClinical privileging of APsThe relevant rules and documentation requirements for AP billingLiability issues for AP practicesUseful state-by-state charts for nurse practitioners, physician assistants, pharmacists, and complementary and alternative medicine providersAnyone needing to know how each state regulates APs will find Ancillary Providers in Health Care: A Primer to be a useful starting point for their research.
Author:
Publisher:
ISBN: 9781632827937
Category :
Languages : en
Pages :
Get Book Here
Book Description
The increase in the number of insured individuals due to the Affordable Care Act has led hospitals and medical practices to increase their use of non-physician clinicians to lessen the burden created by the increase. Nurse practitioners and physician assistants are increasingly deployed to address a host of issues, from the inadequate number of primary care physicians and underserved populations with greater needs for primary care services to demands for cost effectiveness and greater patient satisfaction. There are major differences between state laws governing nurse practitioners and physician assistants. Health systems, other health care facilities, and medical practices need to understand these differences if they wish to make use of these and other ancillary providers (APs). Ancillary Providers in Health Care: A Primer can help guide you as you advise your clients on their state's regulations.Coverage includes:Scope of practice for nurse practitioners and physician assistantsClinical privileging of APsThe relevant rules and documentation requirements for AP billingLiability issues for AP practicesUseful state-by-state charts for nurse practitioners, physician assistants, pharmacists, and complementary and alternative medicine providersAnyone needing to know how each state regulates APs will find Ancillary Providers in Health Care: A Primer to be a useful starting point for their research.
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ISBN:
Category :
Languages : en
Pages :
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Book Description
Author: Doriann H. Cain
Publisher:
ISBN: 9781632827906
Category : Medical care
Languages : en
Pages : 74
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Book Description
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Publisher:
ISBN:
Category : Poth Family
Languages : en
Pages : 117
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Author: Karen S. Rieger
Publisher:
ISBN: 9781632842534
Category :
Languages : en
Pages :
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Book Description
The Medical Staff Guidebook: Minimizing Risk and Maximizing Collaboration is a new Fourth Edition of the formerly titled Health Care Entity Bylaws and Related Documents. AHLA recommends this new edition of the Guidebook to all in the health care field who need to know how to ensure their medical staff bylaws cover the essential aspects to better serve both the medical staff's needs and those of the health care entity.Medical staffs and health care entities have historically had a unique relationship of interdependence. While the governing body of the health care entity is ultimately responsible for the success or failure of the entity, it is the medical staff that provides the necessary ingredient for the success, i.e. quality patient care. In recent years, there has been an increase in direct integration between physicians and health care entities, through a number of different relationships. This change, along with increased scrutiny of the industry from regulators and the market place, means that the medical staff/health care entity relationship may become increasingly difficult to manage. At the heart of this balancing act are the medical staff bylaws. Well-drafted bylaws can help create a cohesive working relationship, leading to enhanced patient care. The publication includes discussion of the impact that the increasing number of facilities where health services are provided, and in which organized medical staffs exist, has had.Coverage includes:An overview of the applicable regulatory matters, including conditions of participation, and the role that accreditation organizations play;The protection afforded health care entities and physicians by the Health Care Quality Improvement Act of 1986 (HCQIA);The Joint Commission's changes incorporated in MS.01.01.01;The underlying legal and business issues that will impact the drafting of appropriate bylaws;An overview of the bylaws, medical staff governance, the nature of medical staff appointment, procedures for determining clinical privileges, and fair hearing procedures;Organizational and drafting tips; andSample language, and key clauses.
Author: Kim Harvey Looney
Publisher:
ISBN: 9780769865638
Category : Medical laws and legislation
Languages : en
Pages : 0
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Book Description
Author:
Publisher:
ISBN: 9780327175360
Category :
Languages : en
Pages :
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Book Description
The newly revised and greatly expanded third edition of Physician Recruitment and Compensation Arrangements Practice Guide offers expert guidance in the complex area of physician recruitment and retention by exempt organizations. This comprehensive guide addresses the three most critical elements impacted by physician recruitment and compensation: the Medicare and Medicaid Anti-kickback Statute, the Stark Law, and federal tax-exemption rules and implications for tax-exempt entities. These issues are analyzed primarily as to incentives and payments made directly and indirectly by exempt organizations.Highlights include:Guidance on avoiding the risks involved in this area of the law, such as loss of tax-exempt status, exclusion from Medicare and Medicaid, and other serious penaltiesAn in-depth review of the interplay of federal regulations in the fraud and abuse, self-referral, and tax exemption areas affecting physician recruitment and retentionCompliance issues faced by healthcare organizations in three critical areas impacted by the development of compensation packages and other incentives: the Medicare and Medicaid Anti-kickback Statute, the Stark Law, and federal tax-exempt status issues including inurement, excess benefit, and private benefitEnhanced coverage of the tax issues through use of nonprecedential documents to supplement case law and binding guidanceInsight into the IRS' current views and administrative practicesAn extensive variety of workpapers and charts summarizing key elements of, and providing tools to assist in compliance with, the three main regulatory areasAbout the AuthorGerald M. Griffith, Esquire, is a partner with the international law firm of Jones Day in Chicago, Illinois. He received a B.A. degree from the University of Michigan, with high distinction, and a J.D. degree, magna cum laude, from the University of Toledo College of Law. Mr. Griffith represents a variety of healthcare providers in tax, compliance, and transactional matters, and is a frequent speaker and writer on healthcare legal and tax topics. He is a member of the bar in Illinois and Michigan. Mr. Griffith is President-Elect of the American Health Lawyers Association (AHLA) and Chair of its Programs Committee for 2010-11. He will serve as President of AHLA in 2011-12.The eBook versions of this title feature links to Lexis Advance for further legal research options.
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ISBN: 9780769882512
Category :
Languages : en
Pages :
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Book Description
The U.S. Department of Health and Human Services' Center for Medicare and Medicaid Services (CMS) has used independent contractors to audit providers and suppliers for improper payments, and this use has increased exponentially over the last few years. It can often be difficult to determine if a contractor has exceeded its authority as not all Medicare contractor authority is publicly available, and CMS and the states haven't clearly identified where Medicaid contractors' authority is defined. Health Care Provider and Supplier Audits Practice Guide, First Edition is a useful guide to understanding the intricacies of the Medicare, Medicaid, and commercial payer regulatory environment.Coverage Includes:Introduction to audit contractor landscapeMedicare Part A and B contractor auditsMedicare Part C and D audits and appealsMedicaid auditsCommercial payer overpayment disputesAnyone who needs an understanding of Medicare, Medicaid, and commercial payer audits and overpayment demands will find Health Care Provider and Supplier Audits Practice Guide, First Edition a useful guide.The eBook versions of this title feature links to Lexis Advance for further legal research options.
Author: Karen S. Rieger
Publisher:
ISBN: 9781422439289
Category : Health facilities
Languages : en
Pages : 114
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Book Description
Author: Mark A. Hall
Publisher: Aspen Publishing
ISBN:
Category : Law
Languages : en
Pages : 496
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Book Description
The Law of Health Care Finance and Regulation, Fifth Edition is based on Part III, “Institutions, Providers, and the State,” from Health Care Law and Ethics, Tenth Edition, and adds additional coverage of a variety of issues that have shaped health care finance law. Integrating public health and financial and ethical issues, this casebook uses compelling case law, clear notes, and comprehensive background information to illuminate the complex and dynamic field of health care law. New to the Fifth Edition: Recent challenges to the Affordable Care Act Growth of Medicare Advantage Medicaid work requirements Private equity investment in health services Medical price transparency Vertical integration and cross-market mergers Benefits for instructors and students: Based on material in Part III, “Institutions, Providers, and the State,” from the popular parent book, along with coverage of duty to treat, hospital liability, managed care liability, and regulating access to drugs. Includes cases and material not found in the parent book on: Universal coverage and foreign health care systems Economic and regulatory theory Judicial and administrative review of Medicare decisions Certificate of need laws Monopolization claims Antitrust immunity Integrates public health and ethics issues and features clear notes that provide context, smooth transitions between cases, and background information. Provides additional discussion problems not found in the main volume. Website, www.health-law.org, provides background materials, updates of important events, additional relevant topics, and links to other resources on the Internet.
