Skip to Main Content

AHLA Publishes the Fifth Edition of the Health Care Compliance Legal Issues Manual

  • March, 05, 2019

Published by the American Health Law Association (AHLA), the fifth edition of Health Care Compliance Legal Issues Manual includes expanded and updated strategies for addressing the full scope of legal issues critical to health care compliance.

Authored by experts with years of health care compliance experience, this new edition integrates changes in regulation, trends in enforcement, and the latest reasoning of the courts to help readers navigate emerging and unsettled areas of compliance risk, such as self-disclosure obligations, risks associated with opioid use, the impact of statistical sampling, and much more:

Part One: Basics

  1. Glossary of Key Terms—NEW CHAPTER
  2. What is a Compliance Program
  3. OIG Model Compliance Guidance by Provider Type
  4. Background Checks and Excluded Persons
  5. Government Program Participation and CMS Billing Revocation Authority
  6. Corporate Transparency and Disclosure
  7. Regulatory Advice and Liability Issues

Part Two: Investigations and Enforcement

  1. What to Do When the Government Knocks
  2. Managing an Internal Investigation
  3. The Relationship between Enforcement and Compliance—NEW CHAPTER
  4. False Claims
  5. Repayments and Self-Disclosures
  6. Internal and External Audit Basics

Part Three: Key Areas of Compliance Concern

  1. Medical Necessity, Claims, and Payment Processes
  2. Stark and Anti-Kickback Prohibitions
  3. EMTALA Compliance
  4. Health Care Civil Rights and Nondiscrimination Under Section 1557 of the Affordable Care Act—NEW CHAPTER
  5. Health Information Privacy and Security Laws
  6. Behavioral Health—NEW CHAPTER
  7. Research Compliance
  8. Antitrust Laws
  9. Drugs, Devices, Life Sciences Entities
  10. Exempt Organizations and Other Tax Compliance Issues

The Health Care Compliance Legal Issues Manual is available for pre-order through AHLA’s store on the LexisNexis website for both members of AHLA and the broader health law professionals community.

For a high-resolution image of the book cover, editor/author headshots, or interview inquiries, please contact AHLA.

Fifth Edition Editors and Authors

Ann T. Hollenbeck, Karen Lovitch, Lester J. Perling, and Cynthia F. Wisner, Editors

Brooke Bennett Aziere, Amy Bailey, Douglas A. Blair, Elizabeth Callahan-Morris, Kyle E. Calvin, Elizabeth Carder-Thompson, Ritu Kaur Cooper, Thomas S. Crane, Gerald “Jud” E. DeLoss, Kyle Y. Faget, Emily Black Grey, Gerald M. Griffith, Nancy Bonifant Halstead, Jake Harper, Kenneth E. Hooper, Gabriel L. Imperato, Kevin Kifer, Ronald H. Levine, Melissa L. Markey, Joseph Metro, Macauley Rybar, Alexandra B. Shalom, Albert W. Shay, Harry R. Silver, E. John Steren, Drew Stevens, Sarah E. Swank, Teresa A. Williams, Amanda M. Wilwert, Howard J. Young, Authors