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Health Law and Compliance Update, 2017 Edition

Health Law and Compliance Update, 2017 Edition

Author: John E. Steiner. Jr.
Publisher: Aspen
ISBN: 9781454810407
Published In: November 2016
Format: Paperback , 462 pages
Jurisdiction: U.S. ? Disclaimer:
Countri(es) stated herein are used as reference only

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Description
Contents

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The 2017 Health Law and Compliance Update, now in its 14th year, continues a publishing tradition that features national experts who address key developments in health care delivery, payment, and compliance. The authors include practical advice and analytical tools for use in organizational compliance programs, in addition to timely and thorough analysis of many substantive topics.

The 2017 Edition includes detailed coverage and expert insights on the following topics:

HITECH Act Audits
Hospital Relationships With Physician Practices and the 2016 Stark Amendments: New Exceptions, New Compliance Risks
Personalized Medicine
Enforcement Developments in Life Sciences for 2016
The Road to Value-Based Payments: Considerations for Provider Engagement
Enforcement of the HIPAA Privacy, Security, and Breach Notification Rules
Reporting and Returning Medicare Overpayments
Makers and Compliance: Tinkering With and Inventing Medical Design While Maintaining Compliance

1. YEAR IN REVIEW (John Steiner, Gayland O. Hethcoat II, Rachel Howland, Marilyn Le, William M. Turner, Robert Holland, and Daniel Staren)
- Physician Payments Sunshine Act
- Updates on the Red Flags Rule Compliance Obligations for Health Care Providers
- Employee Retirement Income Security Act (ERISA) Update
- HEAT and the Fraud Prevention System
- Constitutional Challenges to the Patient Protection and Affordable Care Act, 2011-2012
- Personalized Medicine
2. COMPLIANCE-RELATED TAX ISSUES (Travis Jackson)
- Charitable Status for Health Care Organizations
- Organized and Operated Exclusively for Exempt Purposes
- Prohibition Against Private Inurement
- Prohibition Against Private Inurement Excess Benefit Transactions
- Private Benefit
- Good Corporate Governance
- Joint Ventures
3. MEDICARE CERTIFIED ACCOUNTABLE CARE ORGANIZATIONS (Mike Segal, Heather Siegel Miller, Stephen H. Siegel, and Fred Segal)
- The Medicare Shared Savings Program in Depth
- Federal Antitrust Rules and Their Effect on Accountable Care Organizations
- Health Information Technology
- Accountable Care Organization Tax Issues
- State Law Issues
4. THE EVOLUTION OF STROKE AFFILIATE PROGRAMS IN RESPONSE TO THE SHIFTING HEALTH CARE PARADIGM (Farzan Bharucha, Rob Edwards, Michael R. Dobbs, MD, Mark D. Birdwhistell, and Thomas Dixon)
- Current State of Stroke Networks
- Future Considerations for Stroke Network Development
- Legal and Regulatory Implications for Network Development
5. MEDICARE BENEFITS AND COVERAGE (Thomas Barker)
- Covered Benefits
- Medical Necessity
6. COMPLIANCE PROGRAM MONITORING AND AUDITING METHODS AND TECHNIQUES (John Steiner, Paul Flanagan, and Greg Radinsky)
- Key Principles and Related Developments
- Audits and Reviews
- Sampling Techniques
- EMTALA
- Clinical Trial Billing
- HIPAA Auditing - An Expanding Frontier
- Business Associate Audits
- Breach Notification Audits
- OCR Audit Program
7. NAVIGATING THE RULES FOR POST-APPROVAL, NONINTERVENTIONAL STUDIES (Judith E. Beach, Andy DeMayo, Kristen Henderson, and Jeffrey Sachs)
- Value of Post-Approval, Noninterventional Studies
- Overview of Rules Applicable to Post-Approval, Noninterventional Studies
- Other Rules to Be Considered in Post-Approval, Noninterventional Studies
- Rules for Clinical Investigations That Generally Do Not Apply to Post- Approval, Noninterventional Studies
8. ANATOMY OF A BUSINESS ASSOCIATE AGREEMENT: AN EXAMINATION OF REGULATORY REQUIREMENTS, RISKS, AND PRACTICAL SUGGESTIONS RELATED TO AGREEMENTS (H. Ward Classen, Marie Fogarty, and Beth Mier)
- Overview of HIPAA and HITECH
- Business Associate Agreement Terms
9. DELIVERING EFFECTIVE HEALTH CARE SECURITY (Donald Kneitel and Michael Montecillo)
- Health Care Business and Information Technology Security Drivers and Risk Implications
- Security Governance, Risk, and Compliance
- People Security - Identity and Access Management
- Data Security
- Application Security
- Infrastructure and Threat Security
- A Prioritization Roadmap
10. THE RESPONSIBLE CORPORATE OFFICER DOCTRINE AND OTHER THEORIES UNDER WHICH CORPORATE OFFICIALS CAN BE LIABLE BY VIRTUE OF THEIR CORPORATE POSITION (Carolyn Fitzhugh McNiven)
- Criminal Charges Against Individuals Under the Responsible Corporate Officer Doctrine and Other Theories of Indirect Liability
- Current Enforcement Environment and Recent Cases of Note
- Consequences of a Responsible Corporate Officer Criminal Conviction
- Civil Enforcement Actions: Extent to Which Executives Are Vulnerable