University of Pittsburgh

Health Care Compliance

Catalog Number: 5284
3.0 Credits
Lecture
Priority: Limited Enrollment - 3rd Year Priority
Catalog Requirements: Professional Skills.

Health care is one of the most highly regulated industries in the United States and raises challenging business and legal issues. Federal and state governments impose regulations on the provision of health care in their twin roles of purchaser and regulator. Health care compliance is a significant concern for organizations. Recent changes to the False Claims Act and other government enforcement mechanisms have increased risks of noncompliance. At the same time, the rules with which entities must comply are increasingly complex, and new regulatory requirements are emerging in the areas of quality of care, waste, privacy, data management, and health care reform. Lawyers must be ready to help clients interpret these rules as they relate to their health care operations. Health Care Compliance will teach students the framework of compliance issues, giving them tools to navigate the changing landscape in this rapidly expanding field. The students will apply key health care laws and regulations to realistic health care situations. They will practice how to identify and evaluate compliance issues and how to counsel to appropriately lower risk. Students can expect to learn (1) the health care laws that will dominate compliance concerns in the near future, along with their implementing regulations; (2) strategies to affect the regulatory process; and (3) an understanding of the ethics, public policy, practice of medicine, and business ramification considerations that influence compliance solutions.

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