Description
Main Volume Information
Government enforcement in perceived instances of fraud and abuse in the health care industry continues to accelerate and expand into new areas—often leading to record-breaking settlements. Long-accepted business practices may suddenly be investigated as potential crimes, and gray areas in the law are numerous, making it difficult to know how to proceed safely. Health Care Fraud and Abuse: Practical Perspectives, Second Edition removes these uncertainties by outlining in detail the existing fraud and abuse laws and regulations—and offering the practical guidance practitioners need to protect their clients. This incomparable treatise offers seasoned attorneys, as well as those new to health care law, assistance in structuring acceptable business arrangements, avoiding statutory and regulatory pitfalls, defending clients, implementing effective corporate compliance programs, and more.
Supplement Information
The 2011 Cumulative Supplement includes new material on:
- Cases that impose criminal liability or other sanctions on individuals convicted of health care fraud and abuse violations
- Changes to the False Claims Act, including revisions to the public disclosure jurisdictional bar, overpayment reporting requirements, whistleblower retaliation provisions, and the anti-kickback statute
- The expansion of Part D fraud and abuse enforcement, including the 2012 Final Rule on changes to both the Medicare Advantage and Medicare Prescription Drug Benefit programs, and new CMS initiatives, including guidance on Part D Plan Sponsors and audits of sponsor operations, particularly related to compliance programs
- Fraud enforcement, especially concerning abuse affecting providers, drug and device manufacturers, and payors, in contexts including clinical research, securities fraud, off-label marketing, kyphoplasty, and kickbacks
- Developments in the Stark law, including coverage of the new PPACA provisions and implementing regulations; new disclosure requirements and modifications to the “whole hospital” exception; new cases interpreting various aspects of the law; and interactions between the Stark law and ACOs
Specifications
Main Volume Information
2007/913 pp. Hardcover/Order #9993
Supplement Information
2011/ISBN 9781570189937/Order #1993
Authors
Main Volume Information
Linda A. Baumann, Editor-in-Chief; ABA Health Law Section
Supplement Information
Linda A. Baumann, Editor-in-Chief; ABA Health Law Section