This course is designed to give students a practical understanding of the laws and regulations, beyond those addressing fraud and abuse, encountered by compliance professionals in daily practice. The course will be divided among issues related to the triangle of health care cost, quality and access. Special attention will be given to the Emergency Treatment and Labor Act (EMTALA); provider licensure, discipline and due process, and scope of practice; provider, institutional and managed care liability; credentialing, privileges and peer review; informed consent; research compliance; long term care, end-of-life care and advance directives; health care privacy including HIPAA and the HITECH Act; and compliance strategies to mitigate malpractice exposure. Throughout the semester, the course will address legal issues arising in the course of the implementation of the Patient Protection and Affordable Care Act (ACA) as it relates to the above-referenced topics.The key objective of this course is the appropriate application of a range of statutory, regulatory and common law principles to a variety of health care compliance situations. Reading assignments, course materials, and class discussion (via discussion board) will help students effectively address a variety of legal issues encountered as compliance professionals. By the end of the course, students will have developed basic skills in legal issue recognition and analysis, and increased familiarity with key topics in health law. Grading: Letter graded Credits: 3 Offered: Summer
