Fraud, Abuse and Health Care Regulation

Catalog description

This course will focus on a variety of regulatory schemes relevant to the health care industry from the institutional to individual level. In particular, this course will focus on the Medicare Fraud & Abuse Law, HIPAA regulations governing privacy and security of health information, federal and state Anti-kickback prohibitions, the Stark Law (both Stark I and Stark II Regulations), the Internal Revenue Service Rules imposed on not-for-profit health care institutions and Intermediate Sanctions, the False Claims Act, and a variety of other federal and state laws regulating health care transactions and licensure of health care providers. The course will meet two hours per week and students will be expected to complete and turn in proposed solutions to weekly problem sets using the relevant statutory provisions, regulations and guidance. The problems and solutions are evaluated by the professor, who is a practitioner in the area of health care law. In addition,