Assess the impact of existing and proposed laws and policies on patient safety and quality
Appreciate the intersection of nonprofit corporation law, laws governing state and federal tax exemptions, and federal fraud and abuse laws
Design effective and compliant peer review and credentialing processes
This course provides an overview of healthcare compliance issues faced by professionals seeking to comply with federal and state laws and regulations governing the health care industry. Topics covered include compliance fundamentals, nonprofit corporate and tax issues, the Anti-Kickback Statute, the False Claims Act, Stark Law basics, hospital-physician relationships, peer review and credentialing, and medical errors and patient safety. Students describe key statutes, regulations, and guidance documents that impose compliance obligations and then analyze the implications for healthcare providers using case studies. Upon completion of the course, students will have a broad understanding of legal and ethical issues in healthcare delivery.