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Health Law Handbook, 2018 ed. (Health Law Series)

Product details:

Brand: Clark Boardman Callaghan
Copyright: 2018
ISBN: 9781539237174
Publication frequency: Updated as changes in the law dictate
Update method: N/A

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Health Law Handbook, 2018 ed. (Health Law Series)


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Health Law Handbook, now in its 29th edition, features contributions from 24 nationally known health law experts who provide insights and guidance on some of the most important issues in health law.

The handbook offers 13 insightful articles across four principal topic areas:

  • Fraud and abuse
  • Reimbursement
  • The reforming healthcare system
  • Information management

The first section, addressing fraud and abuse, is the largest and appropriately so given the current enforcement environment. Articles in this section address timely issues, such as:

  • Implied false certification liability after Escobar
  • Individual liability in healthcare fraud enforcement: the Yates memo and beyond
  • The oxymoronic landscape of voluntary repayments
  • Medicare and Medicaid administrative enforcement
  • Healthcare fraud and abuse

The second section on reimbursement issues includes coverage of the Emergency Medical Treatment and Active Labor Act (EMTALA), which hospitals must comply with in order to participate in Medicare. EMTALA is explained thoroughly, in plain English, including its history, requirements, and penalties. Medicare claims appeals are also covered in the second section, with guidance to the processes, challenges, and barriers to pursuing appeals through the five levels available. The authors offer strategies and the information needed to defend providers in audits and pursue appeals of denied claims.

The third section reflects the changes afoot in a reforming healthcare system. Articles in this section address issues, such as:

  • Private equity investment in healthcare
  • Provider-sponsored health plans
  • Theories and realities in recent hospital merger litigation
  • Practical and ethical considerations in advising cutting-edge healthcare companies

The fourth section addresses information management in healthcare. Expert perspectives on the past, present, and future of healthcare privacy take into account HIPAA, security, and HITECH statutes, as well as cybersecurity, cloud computing, and focused speculation on the future of healthcare privacy. This section closes with focused consideration of patient portals – electronic means of managing doctor-patient communications – providing need-to-know information for any attorney who works with physicians. The author explains how patient portals work and how the portals relate to legal and practical issues, including HIPAA, privacy, and contractual issues.