Course Descriptions
[A-B, C-D, E-F, G-H, I-J, K-L, M-N, O-P, Q-R, S-T, U-V, W-X, Y-Z]
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Health Care Fraud and Abuse (2)
558J
Concentration(s):
(Formerly DCL 594)
The course will cover federal and state laws that impose criminal and civil penalties on health care providers for a variety of activities, ranging from payment for referrals to the submissions of false claims. The course would cover the federal and state illegal remuneration statutes, the federal civil monetary penalty and exclusion laws, the federal anti-referral (Stark) law, and the federal false claims laws as they apply to the health care industry.
Prerequisite(s):
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Health Care Law (2)
558C
Concentration(s):
(Formerly DCL 458)
THIS COURSE MAY BE OFFERED AS EITHER 2 OR 3 CREDITS.
Survey of major aspects of substantive health care law and regulation. Topics include: 1) Health care economics, including the Employee Retirement Income Security Act, health insurance, Medicare and Medicaid; 2) Health facility regulation, including quality assurance programs, licensing and Medicare-imposed operational requirements; 3) Health professional (practitioner) regulation, including board certification, licensure, medical staff credentialing and corporate practice of medicine; 4) Managed care, including organizational structures, regulation, contracting practices and vicarious liability; 5) Regulation of human subject research; 6) Personal autonomy, surrogate decisionmakers and death and dying; 7) Kickback, Fraud and Abuse and Stark II regulation of referral patterns; 8) Corporate structure and federal tax exemption of health care institutions. Medical malpractice and tort liability will not be emphasized. A final examination is required.
Prerequisite(s):
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Health Law Organization and Finance (2)
558K
Concentration(s):
(Formerly DCL 595)
This course will provide and overview of the major organizational and financial structures that operate in the current health care system. A myriad of organizational structurs exist, from various forms of HMOs to PPOs to PHOs, amongst others. Each of these organizational structurs my find financing through an equally complex system of private and public insurance options. Practicing health care attorneys frequently find themselves confronted with complex issues concerning a health care enterprise's organizational structure and financial arrangements. While the general health law survey course touches upon the financing and organization of the health care enterprise, there is insufficient time in that course to adequately deal with the full scope and complexities of these issues. We do not currently have a course that sufficiently covers this material.
Prerequisite(s):
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[A-B, C-D, E-F, G-H, I-J, K-L, M-N, O-P, Q-R, S-T, U-V, W-X, Y-Z]
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