Health Care Law

Written by an attorney with experience as a healthcare compliance officer, Health Care Law provides essential information necessary for users pursuing careers in the growing healthcare sector, as paralegals, managers, or compliance/ethics professionals. This reference focuses on key information such as the types of healthcare entities, and the major areas of healthcare law, but also provides readers with information on important contemporary topics like electronic health records, corporate compliance, HIPAA privacy and security, physician professional relationships, and helps to prepares readers for their careers with real-world examples. This guide also provides comprehensive statutory references for further research.

Preface	p. xi
Acknowledgments	p. xiii
Table of Cases	p. xvii
An Introduction to Health Care Delivery	p. 1
Health Care Organizations and Providers	p. 2
Types of Business Organizations	p. 9
Health Insurance Plans	p. 12
State and Federal Roles in the Regulation of Health Care	p. 19
State and Federal Authority	p. 19
Regulation of Hospitals	p. 20
Regulation of Insurance	p. 24
The Physician/Patient Relationship	p. 33
The Duty to Treat	p. 33
Consent to Medical Treatment	p. 34
Patient Decision-Making	p. 37
Confidential Patient Health Information	p. 43
Physicians, Providers, and Financial Relationships	p. 47
Licensure and Discipline	p. 47
Medical Staff Privileges and Credentialing	p. 50
Employment	p. 57
Ownership	p. 61
Medicare	p. 67
Medicare Coverage and Eligibility	p. 68
Certification	p. 78
Medicare Payment	p. 79
Medicare Appeals	p. 84
Fraud and Abuse	p. 97
Introduction	p. 98
False Claims Act	p. 99
Exclusions, Civil Monetary Penalties, and Other Administrative Remedies	p. 101
Criminal Penalties in General	p. 104
Anti-Kickback Law	p. 106
Stark Law	p. 109
Health Care Compliance Programs	p. 117
Health Care Compliance Programs	p. 117
Corporate Compliance	p. 130
Health Insurance Portability and Accountability Act	p. 135
History of Legislation	p. 136
Portability, Access, and Renewability	p. 137
Administrative Simplification and Fraud and Abuse Prevention	p. 141
Health Provisions in Internal Revenue Code	p. 156
Electronic Health Records	p. 163
Introduction	p. 164
Paper Vs. Electronic Medical Records	p. 165
Legal Issues	p. 171
E-Mail and Protected Health Information	p. 173
Records Retention and Destruction	p. 175
The Emergency Medical Treatment and Labor Act	p. 181
Introduction	p. 181
Statutory and Regulatory Authority	p. 182
Agency Oversight	p. 188
Case Law	p. 190
Clinical Research	p. 197
Regulation of Research on Human Subjects	p. 197
Agency Oversight	p. 204
Case Law	p. 206
Ethical Decision Making in Health Care	p. 213
Framework for Ethics	p. 213
Interdisciplinary Issues in Human Genetics	p. 216
Institutional Ethics Committees	p. 224
Acronyms	p. 231
Useful Websites for Health Care and Health Law	p. 235
Administrative Law and Federal Regulatory Research	p. 239
Sample Living Will/Declaration Regarding Life-Sustaining Procedures	p. 253
Table of Authorities for Exclusions	p. 255
Sample Authorization to Release Protected Health Information (PHI)	p. 259
Sample Business Associate Contract Addendum	p. 261
Sample Notice of Privacy Practices	p. 269
Sample Policy for Records Retention, Management, and Destruction	p. 273
Glossary	p. 277
Index	p. 283
Table of Contents provided by Ingram. All Rights Reserved.

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