Health Care Compliance and the Law

Catalog description

Proactive regulatory compliance programs are, or soon will be, mandatory throughout the health care industry in the U.S. as a result of federal mandates. Effective compliance programs also are mandated by prudent business practices. This course is designed to introduce students to health care compliance. Students will learn the background and general theory of compliance, what health care compliance programs are, how they are developed, how they operate and the consequences of inadequate and ineffective compliance programs. Special attention will be paid to the role and operation of compliance programs – with respect to both routine compliance matters and those that are complaint-based. The roles and responsibilities of government enforcement agencies such as the Department of Justice, the Department of Health and Human Services' Office of the Inspector General, the Center for Medicare and Medicaid Services and state Medicaid agencies in defining, directing and overseeing compliance and corporate integrity programs.