Federal and state law restrictions on financial relationships between health care providers have undergone significant growth in the past decade. As the health care industry consolidates to form managed care systems and networks of providers, the financial relationship between providers becomes crucial in determining what referrals, marketing strategies, and billing practices are permissible. Defining the boundaries of permissible conduct under a myriad of statutes at both the federal and state level has become a difficult undertaking. This manual offers a variety of tools to assist attorneys and providers in understanding the complexities of the so-called Stark laws and regulations as well and presents a comprehensive state-by-state review of referral laws. Definitions, hypothetical case studies, full text of laws, regulations, and advisory opinions, corporate compliance polices relating to physician referrals, and checklists for determining the legality of specific financial arrangements make this an invaluable resource.
Aspen Publishers' Health Law and Compliance Center has teamed up with the Health Care Compliance Association to produce this comprehensive, practical manual. from explanations of the major legislation, to risk assessments for each of the major practice areas, to hiring and training a compliance officer, the Health Care Compliance Professional's Manual will help you implement an effective compliance program in your health care facility.Also learn about audits, reporting mechanisms, discipline, documentation, joint venture and subcontractor relationships, ethics, baseline assessments and legal risks. Finally, a selection of real-life forms and policies will get you started in creating your own facility's documentation.
Alternative dispute resolution is increasingly being explored as a means of resolving disputes among the participants in managed health care relationships. This manual will provide managed care plan administrators, care providers, and consumers with the detailed knowledge they'll need on how to use alternative dispute resolution most effectively. They'll learn how alternative dispute resolution works, what forms it may take, and what problems to avoid. This much-needed resource will recommend possible alternatives to the other out-of-court settlement techniques currently in use to resolve health care coverage and access disputes. Edited by Roderick B. Matthews, one of the four American Bar Association representatives on the Joint National Commission on Healthcare Alternative Dispute Resolution, and written by leading experts in the field. Updated annually.
Hospital outpatient departments, both on and off the hospital campus, must comply with the Emergency Medical Treatment and Active Labor Act beginning in July 2000. on campus hospital-based providers must also come into compliance in 2000. This handbook describes the requirements of the federal law, referred to as EMTALA or the federal 'anti-dumping' statute, explaining EMTALA's requirements, how those requirements apply in outpatient care settings, and what is necessary for compliance. It also provides sample compliance documentation and the full text of relevant laws, regulations, and advisories.
This new edition includes organization charts and information for federal, state, and local health agencies, and expanded listings for state health agencies. Pinpoint the key players you need to reach and contact them directly using the addresses, e-mail addresses, web sites, and phone numbers provided.
This new edition includes organization charts and information for federal, state, and local health agencies, and expanded listings for state health agencies. Pinpoint the key players you need to reach and contact them directly using the addresses, e-mail addresses, web sites, and phone numbers provided.
Antitrust laws touch upon a wide range of conduct and business relationships in the delivery of health care services, and the issues that should be of concern to health care organizations are described. Health Care Antitrust provides practical overviews of the principal legal issues relating to health care antitrust, as well as a general understanding of antitrust analysis as applied to contractual relationships and business strategies that present antitrust risks in a managed care environment.
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