The compliance conundrum.
Complex regulations and statutes, murky guidance from government agencies, and overly zealous enforcement initiatives make the legal questions in the healthcare arena a veritable mine field. This Article examines some of the issues that arise in the healthcare legal setting, explains why compliance programs are difficult to establish, and analyzes the issues that arise when providers attempt to establish them. Finally, the authors suggest changes to the governing legal framework that would facilitate achievement of the government's goals in a more efficient and just manner.
Roach
D R
DR
Catholic Healthcare West, USA.
MacDonneil
C
C
D000368:Aged; D005161:Facility Regulation and Control / Q000331:legislation & jurisprudence*; D005377:Financial Management, Hospital; D005607:Fraud / Q000331:legislation & jurisprudence; D006077:Government Agencies; D019983:Guideline Adherence; D017408:Guidelines as Topic / Q000592:standards*; D019981:Health Care Sector / Q000331:legislation & jurisprudence*; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006278:Medicare / Q000331:legislation & jurisprudence / Q000458:organization & administration; D018584:Physician Self-Referral / Q000331:legislation & jurisprudence; D011216:Practice Management, Medical / Q000191:economics; D014481:United States; D014483:United States Dept. of Health and Human Services