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The Legal and Regulatory Environment of Health Care Learning Objectives 1. Understand how legal and regulatory issues shape and define good financial management of a health care organization. 2. Appreciate the consequences of failing to manage the finances of a health care organization without regard for the complex and ever-changing array of laws and regulations that are unique to this industry. 3. Learning Objectives 3. Recognize when and how to involve legal counsel on a Medicare or Medicaid reimbursement issue or other financial matter that has regulatory compliance implications or would otherwise require you to seek legal advice before making a decision. 4. Identify the most common federal regulatory issues such as fraud and abuse, Stark, HIPAA privacy and security, EMTALA, and IRS requirements for tax- exempt organizations, as well as less common concerns that arise under the antitrust laws, Red Flag Rules, and state insurance regulations.
The Legal and Regulatory Environment of Health Care Learning Objectives 1. Understand how legal and regulatory issues shape and define good financial management of a…