Health Care Fraud And Abuse: Practical Perspectives, 2nd Edition

Health Care Fraud and Abuse: Practical Perspectives, 2nd Edition

The Second Edition of Health Care Fraud and Abuse:Practical Perspectives contains all the outstanding discussions and details in the highly-regarded first edition,and has been fully updated and revised for 2007.Highlights of the new edition include:new Stark discussions,including a section on the electronic health records exception to the compensation prohibition and an addendum analyzing the long-anticipated Stark III regulations,as well as full text of the new regulations revised False Claims Act analysis,including new examination of the original source provisions discussion of the effect of the MMA on Any Willing Provider claims revised and reorganized chapter on managed care fraud and abuse,including examination of Prescription Drug Benefit Manual Chapter 9 and marketing issues for Medicare Advantage organizations updated analysis of OIG compliance program guidance and how to make a compliance program effective discussion of officer and director liability in the wake of Enron,including new analysis of the duty of loyalty elements of good faith,fairness,and usurping corporate opportunity expansive examination of Medicare Part D,including the OIG s December 2006 report on Part D Compliance Plans.