Healthcare Fraud & Abuse, 2nd Edition, 2010 Cumulative Supplement
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Author Description
Highlights in the 2010 Cumulative Supplement include analysis of the Patient Protection and Affordable Health Care Act in a number of chapters, examining it from different perspectives including its impact on Stark law, the federal anti-kickback intent standard, compliance program requirements, the Medicare Part D Program, and the Medicare Coverage Gap Discount Program; expanded discussion of the 2009 Fraud Enforcement and Recovery Act and the 2009 False Claims Act amendments; new topics on Allison Engine, reverse false claims law, statute of limitations case law, and whistleblower retaliation case law; analysis of the 2010 Supreme Court decision in Merck & Co. Inc. v. Reynolds and its impact on early disclosure of potential enforcement actions; 2009 proposed regulatory changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs; and review of the Medicare Physicians Fee Schedule 2010 Final Rule.
Menrva's Summary
THE THESIS
This supplement analyzes the significant legal and regulatory changes impacting healthcare fraud and abuse in 2010. It details the implications of the Patient Protection and Affordable Health Care Act across various areas, including Stark Law and anti-kickback statutes, and expands on the Fraud Enforcement and Recovery Act of 2009 and False Claims Act amendments. The supplement also addresses new case law concerning reverse false claims, statutes of limitations, and whistleblower retaliation, alongside key Supreme Court decisions and proposed regulatory shifts.
THE SCOPE MAP
- Analysis of the Patient Protection and Affordable Health Care Act and its impact on Stark Law.
- Examination of the federal anti-kickback intent standard and compliance program requirements.
- Discussion of the Medicare Part D Program and the Medicare Coverage Gap Discount Program.
- Expanded coverage of the 2009 Fraud Enforcement and Recovery Act and False Claims Act amendments.
- New topics including Allison Engine, reverse false claims law, statute of limitations case law, and whistleblower retaliation case law.
- Analysis of the 2010 Supreme Court decision in Merck & Co. Inc. v. Reynolds.
- Review of 2009 proposed regulatory changes to Medicare Advantage and Medicare Prescription Drug Benefit Programs.
- Coverage of the Medicare Physicians Fee Schedule 2010 Final Rule.
THE AUTHORITY PERSPECTIVE
This supplement is an essential update for legal professionals and compliance officers navigating the complex landscape of healthcare fraud and abuse. It provides critical analysis of landmark legislation like the Affordable Care Act and recent enforcement trends. The detailed examination of case law and regulatory changes ensures readers are informed about the latest developments impacting healthcare providers and entities. Its focus on specific programs and legal statutes makes it a valuable resource for understanding current compliance obligations.
Page Count:
586
Publication Date:
2010-12-21
Publisher:
BNA Books, A Division of Bureau of National Affairs
ISBN-10:
1570189080
ISBN-13:
9781570189081
Non-Fiction
Law
Healthcare Law
Legislation
Compliance
