• AHLA Ambulatory Surgery Centers: Legal and Regulatory Issues, Fourth Edition with 2011 Supplement (AHLA Members)
 
 
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AHLA Ambulatory Surgery Centers: Legal and Regulatory Issues, Fourth Edition with 2011 Supplement (AHLA Members)

AHLA Ambulatory Surgery Centers: Legal and Regulatory Issues, Fourth Edition with 2011 Supplement (AHLA Members)

American Health Lawyers Association


Availability: In Stock
Publisher :AHLA
Format: epub , eBook

ISBN: 9780327174011

2009
 
$124.00
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    If you are not an AHLA member and would like to purchase this book, click here.

    Ambulatory Surgery Centers: Legal and Regulatory Issues addresses the unique nature of ASCs, emphasizing their physical and organizational separation from other providers, regardless of whether they are owned by a hospital, a physician practice, or other entity. In this newly-revised and updated edition, the authors address the history behind the development of ambulatory surgery centers (ASCs) and their rapid growth since Medicare approved payments to them in 1982. Today there are more than 5,900 ASCs operating in this country. This new edition focuses on current issues for ASCs, and offers practical and useful guidance for those involved in giving legal advice to them.

    The authors extensively discuss the following subjects:

    •   The unique nature of ASCs, emphasizing their physical and organizational separation from other providers;
    •   Key trends and tensions facing ASCs, such as the points of conflict that often arise between ASCs, hospitals, and physicians;
    •   Medicare and Medicaid fraud and abuse concerns, tax exemption and other tax-related issues, and the safe harbors for ASCs;
    •   Relevant Stark issues, as well as the impact of state self-referral laws;
    traditional and current payment methods, and key reimbursement issues;
    •   Requirements for Medicare certification, licensing, and certificate-of-need issues; and
    •   Antitrust considerations for ASCs that face often-intense competition and exclusive contracting between hospital systems and payors.

    Health Lawyers commends this monograph to all health attorneys and other healthcare professionals who wish understand the advantages and drawbacks of establishing and participating in ASCs.

    AUTHORS

    Scott Becker, Esquire
    Sarah Abraham Chacko, Esquire
    Ronald E. Lundeen, Jr., Esquire
    Elissa Koch Moore, Esquire
    Melissa Szabad, Esquire
    Gretchen Heinze Townshend, Esquire
    Amber McGraw Walsh, Esquire

    The authors are with the law firm McGuire Woods LLP, and focus their practices on regulatory and transactional matters in the healthcare arena.

    PREFACE
    ABOUT THE AUTHORS

    I. OVERVIEW
    II. ANTI-KICKBACK AND SELF-REFERRAL ISSUES
    III. TAX EXEMPTION AND TAX-RELATED ISSUES
    IV. STATE SELF-REFERRAL ISSUES
    V. REIMBURSEMENT
    VI. MEDICARE CERTIFICATION, LICENSING, AND CON ISSUES FOR ASCs
    VII. ANTITRUST CONSIDERATIONS AFFECTING ASCs.

    EXHIBITS
    Exhibit 1: ASC Safe-Harbor Regulations of the Anti-Kickback Statute
    Exhibit 2: Sample Compliance Plan Cover Letter
    Exhibit 3: Sample Operating Agreement
    Exhibit 4: Sample Compliance Policy Plan
    Exhibit 5: Sample Policy for Antitrust Compliance

     

     

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