Assignment:
Health Law Study
What are the seven OIG-recommended elements of a good hospital compliance program? Take the time right now to list them on a piece of paper, using four or five words to describe each one. If you are ambitious, memorize all seven.
What is the difference between the Stark Law and the AKS?
What are the eight compliance program elements mandated by the 2010 PPACA, and what are their similarities to the elements promoted by the OIG for all healthcare organizations?
Give three examples of communication channels a HHA could open in order to encourage the reporting of compliance problems.
What steps could a clinical laboratory take to encourage physicians to make testing referrals to it without violating the Anti-Kickback Statute?
What does "ambulance restocking" mean and who pays for it? How can fraud and abuse problems result? Learn about the Ambulance Replenishing Safe Harbor under the Anti-Kickback Statute at Federal Register, Vol. 66, No. 233, December 4, 2001 p. 62979.
How often should a billing company perform monitoring? Audits? Exactly what kinds of information and data should it gather through those activities?
List five elements or features of a compliance auditing and monitoring work plan.
Review the PhRMA Code on Interactions with Healthcare Professionals at the link given in the text. Does it do an adequate job of controlling the ways that drug sales representatives interact with physicians?
Imagine a supplier with a workforce of five employees selling a handful of DME products to a local market. Describe two or more lines of communication that the supplier could open for the confidential reporting of suspected violations.
Have you ever been engaged in fabrication, falsification, or plagiarism in writing a paper? How do you use information from a research source without copying most of it?
External Authoritative Sources" for purposes of course shall mean: books, peer reviewed journal articles, education and government sites as well as non-partisan national or international organizations (such as WHO, UNICEF, UNAIDS etc) provided, the foregoing source/material selected has in text citations and references to support statements made therein. Under no circumstances are newspapers including the Wall Street Journal, blogs (regardless of source), editorials, panel discussions and dot com sites to be used. The foregoing are not considered authoritative for this course.
TEXTBOOK: Managing Legal Compliance in the Health Care Industry. BY: George B. Moseley III. ISBN: 978-1-4496-3964-8