Health Care Law

This book discusses ACA provisions that deal with economic factors driving health care costs such as risk adjustment corridors, provisions which may be altered over time in response to economic circumstances.

The book is intended to be used by advanced, intermediate, and beginning practitioners. For advanced practitioners, specific chapters which are applicable to your practice can be used as a reference as you structure relationships and provide counsel. For beginning practitioners, the book can be used to provide a basic foundation in health care law generally or in areas as you encounter them in practice.

AHLA's health law practice guide is a comprehensive four-volume treatise covering important aspects of health law. The Healthcare reform law supplement is a resource guide about the 2010 healthcare reform legislation.

The Health Care Law Sourcebook provides health law practitioners with ready access to the full text of federal laws, regulations, and other government documents relevant to the delivery of health care services. Topics include:

• Medicare reimbursement and certification
• Medicaid reimbursement standards
• Patient confidentiality and non-discrimination
• Approval of drugs and procedures
• Antitrust and trade regulation
• Environmental protection
• Labor, employment and occupational safety
• Other health care laws
• Health Maintenance Organizations.

Don't be without this 4-volume set, updated 3 times each year to bring you the most current material available on this constantly evolving area of law and presented in 4 looseleaf binders that allow you to easily remove pages to take with you, photocopy or fax. The Health Care Law Sourcebook is the reference your clients would want you to have, published by Matthew Bender and LexisNexis with high-quality and reliable content you can start your research with each and every time.

Publisher's Description

The purpose of this treatise is the explain the antitrust laws and how they apply to the health care sector, a sector of the U.S. economy in which expenditures exceed $2.5 trillion—over 17 percent of the country's gross domestic product.

Medicare and Medicaid claims and procedures guides you step-by-step through the Medicare and Medicaid claims processes, from initial claim to administrative and judicial appeals of claim denials. The author has made a complex topic eminently understandable, concentrating on the most frequently used sections of the Medicare and Medicaid Acts. Laws, regulations, and court decisions are organized in a practical, user-friendly fashion. Topics discussed under Medicare include persons eligible, providers of services, HMOs, inpatient hospital services, extended care services, home health services, eligibility and enrollment procedures, administrative hearings, judicial review procedures, and attorneys fees. Topics under Medicaid include information on state plan requirements, trusts and transfer of assets, liens, estate planning and third party liability, penalties and sanctions, fair hearing requirements, and judicial review. Appendices contain useful, time saving practice aids.

Medicare and medicaid fraud and abuse analyzes and interprets the complex set of laws and court decisions relating to health care fraud and abuse.

Health care practitioners, whether generalists or specialists, have long felt the need for a definitive legal treatise that would cover the entire spectrum of legal issues involved in health care practice and serve as primary reference work and authority. To address that need, we have sought out leading figures in their respected areas to discuss the broad range of concerns of health care practitioners. It is the plan of the editors and publishers to update these materials as developments demand and add new chapters to reflect the dynamic nature of the field.