Health Care Financial Transactions Manual, 2023-1 ed.

Covering the various types of providers and suppliers, Medicare and Medicaid programs, and applicable statutes and regulations, Health Care Financial Transactions Manual furnishes a seven-step analysis to help you spot virtually any legal pitfall. It addresses critical issues involving restrictions on physician financial arrangements, fraud and abuse, and ownership disclosure. This volume also includes an overview of the health care industry and covers:

• Critical issues such as restrictions on physician financial arrangements, fraud and abuse, and ownership disclosure

• State regulation of health care transactions including licensure, accreditation, registration, health planning, and certificates of need

• The need to disclose and/or protect information about health care transactions

• Analysis of the federal anti-kickback statute

• Fraud alerts and guidance for tax-exempt organizations

• A comprehensive review of the safe harbors

• Exclusions, civil money penalties, and other important sanctions

• Reimbursement issues arising from changes of ownership or new business organizations