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Author: David E. Matyas
Publisher:
ISBN: 9781422434369
Category : Health insurance
Languages : en
Pages : 495
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Book Description
Author: David E. Matyas
Publisher:
ISBN: 9781422434369
Category : Health insurance
Languages : en
Pages : 495
Get Book Here
Book Description
Author: Aspen Health Law Center
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 156
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Book Description
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: Paul W. Shaw
Publisher:
ISBN: 9781663315007
Category : Fraud investigation
Languages : en
Pages : 775
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Book Description
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: American Health Lawyers Association
Publisher:
ISBN: 9781522173441
Category :
Languages : en
Pages :
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Book Description
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: Hoyt W. Torras
Publisher: American Medical Association Press
ISBN:
Category : Corruption
Languages : en
Pages : 452
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Book Description
A guide for physicians covering the legal aspects of health insurance and offers ways to design an effective billing, coding, and accounts receivable process.
Author: Barry D. Alexander
Publisher:
ISBN: 9781422489611
Category : Medical care
Languages : en
Pages : 564
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Book Description
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: George Pozgar
Publisher: Jones & Bartlett Learning
ISBN: 0763761303
Category : Business & Economics
Languages : en
Pages : 381
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Book Description
Legal Essentials in Health Care Administration is a distillation of the most important topics from the widely popular Legal Aspects of Health Care Administration by the same author. Using reader-friendly, jargon-free language, this text unravels the complexities of the legal system in health care and provides the reader with a strong foundation in health law. Readers will gain a solid understanding of what steps providers of care, legislative bodies, patients, patients' families, and patient advocates can take to help prevent the wide variety of harmful events that are involved in health care.
Author: Andrew L. Bab
Publisher:
ISBN: 9781402426322
Category : Consolidation and merger of corporations
Languages : en
Pages : 0
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Book Description
M&A activity in the health care industry is at its highest level since the 1980s. Organized into four parts, this guide includes practical advice on how to address the various industry-specific issues arising in health care acquisitions.
Author: Joel M. Androphy
Publisher: Law Journal Seminars Press
ISBN: 9781588521330
Category : Law
Languages : en
Pages :
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Book Description
This book covers the merits of a potential action; determining whether the relator would be barred or restricted from any recovery for retaliation and more.
Author: Robert S. Salcido
Publisher:
ISBN: 9781663386311
Category : Fraud
Languages : en
Pages : 0
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Book Description
