AHLA Stark Final Regulations (Non-Members) PDF Download
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Author: Publisher: ISBN: 9781632811844 Category : Languages : en Pages :
Book Description
This completely updated, revised, and expanded new edition of The Stark Law: Comprehensive Analysis + Practical Guide addresses the legal effect of final Stark regulations, which completes the formal rule-making process. Written by Charles B. Oppenheim, a leading expert in the interpretation and application of Stark law, this publication provides practical guidance for advising clients on complying with the current iteration of the regulations, as well as a look at what future direction the Stark regimen might take.HIGHLIGHTS INCLUDE:A discussion of key themes that emerge in the regulations, including the tempering of the previous trend of broadening exceptions for compensation arrangementsIdentification of important definitions and interpretive changes, discussion of remaining problem areas, and guidance for navigating each of themAnalysis of group practices and the exceptions applicable to them, as well as the recent guidance from CMS concerning the period of disallowance for referrals and claims, and analysis addressing the final ruleImpact on the physician practice world including issues relating to physician recruitment, specialty hospitals, gain-sharing arrangements, and Stark-compliant physician joint ventures
Author: Publisher: ISBN: 9781632811844 Category : Languages : en Pages :
Book Description
This completely updated, revised, and expanded new edition of The Stark Law: Comprehensive Analysis + Practical Guide addresses the legal effect of final Stark regulations, which completes the formal rule-making process. Written by Charles B. Oppenheim, a leading expert in the interpretation and application of Stark law, this publication provides practical guidance for advising clients on complying with the current iteration of the regulations, as well as a look at what future direction the Stark regimen might take.HIGHLIGHTS INCLUDE:A discussion of key themes that emerge in the regulations, including the tempering of the previous trend of broadening exceptions for compensation arrangementsIdentification of important definitions and interpretive changes, discussion of remaining problem areas, and guidance for navigating each of themAnalysis of group practices and the exceptions applicable to them, as well as the recent guidance from CMS concerning the period of disallowance for referrals and claims, and analysis addressing the final ruleImpact on the physician practice world including issues relating to physician recruitment, specialty hospitals, gain-sharing arrangements, and Stark-compliant physician joint ventures
Author: Charles B. Oppenheim Publisher: ISBN: 9781522170341 Category : Languages : en Pages :
Book Description
More than a summary of the law, this new edition of an essential monograph offers in-depth critical analysis of this risky, complex area, as well as a wealth of practice pointers and advice for advising clients. Written by leading experts in the interpretation and application of Stark Law, the latest edition of The Stark Law: Comprehensive Analysis + Practical Guide offers up to date information on the following topics:The definition of entitySplit/shared evaluation and management servicesTimeshare agreementsValuing goodwill in physician practice acquisitionsJoint marketingFair market value assessments"Stand in The Shoes" when contracting with a groupWhen A collection of documents can constitute a written agreementDevelopments on the signature RequirementRevisiting fair market value over the course of a termLiability under The False Claims Act with respect to MedicaidBankruptcy trustees and Stark LawUpdates to the self-referral disclosure protocol
Author: Charles B. Oppenheim Publisher: ISBN: 9781663328854 Category : Languages : en Pages :
Book Description
This completely updated, revised, and significantly expanded new edition of The Stark Law: Comprehensive Analysis and Practical Guide is not just a summary of the law. It remains an in-depth critical analysis of Stark Law authority, interpretation, and enforcement. Sharing a wealth of insight, the authors provide an analytic overview to assessing Stark Law compliance questions, before addressing the legal effect of the regulations and the regulatory process, and analyzing the implications of various federal cases and enforcement activity. Throughout the book, they include practical guidance for advising clients on complying with the current state of the law and regulations, as well as a look at what future direction the law might take. The authors highlight themes that emerge in the regulations, identify key definitions and interpretive changes, illuminate problem areas, and suggest guidance for navigating each of them.New developments on fundamental issues are addressed in this Seventh Edition, including commercial reasonableness, taking into account the volume or value of referrals or other business generated, and fair market value. The authors expand their analysis on recent areas of focus, including two new chapters on curing temporary noncompliance and new exceptions for value-based arrangements.Continuing areas of concern are also considered in detail, with the benefit of updated analysis. The authors address physician recruitment concerns and detail the evolution in CMS's view of the acceptability of percentage-based compensation, the continuing debate over specialty hospitals, and the viability of gainsharing and clinical co-management arrangements. Other coverage in this concise and comprehensive work includes models for Stark-compliant physician joint ventures, group practices and their applicable exceptions, developments in the area of self-disclosure, and more.
Author: Barry D. Alexander Publisher: ISBN: 9781422489611 Category : Medical care Languages : en Pages : 564
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: American Health Lawyers Association Publisher: ISBN: 9781522173441 Category : Languages : en Pages :
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: 
Author: 
Author: Charles B. Oppenheim
Author: American Health Lawyers Association
Author: Charles B. Oppenheim
Author: Charles B. Oppenheim
Author: Charles B. Oppenheim
Author: Barry D. Alexander
Author: American Health Lawyers Association
Author: American Health Lawyers Association
Author: Barry D. Alexander