Prerequisites: RCC*; Health Care Law, LAW 686, may be taken concurrently. This course will provide an introduction to compliance with statutes, regulations and internal requirements generally with an emphasis on compliance in the health care industry. This course will cover the following topics: defining and understanding compliance, the essential elements of an effective compliance program, organizational steps necessary to achieve compliance and understanding where compliance fits into the various aspects of the health care industry. The course will also touch on the major substantive areas that require intense compliance activity, although the students will be presumed to have a basic working understanding of those statutes and regulations from a previous health care law course. Students will learn how to ensure that clients comply with the appropriate laws and regulations including: the CMS Regulations, the False Claims Act, the Patient Protection and Affordable Act, HIPAA, the Stark Law, and the federal sentencing guidelines.
LAW 617(2 Credit Hours)
LAW 776(3 Credit Hours)
(Formerly Health Care Transactions) This 3 hour credit course will discuss the importance of corporate compliance for health care organizations, and provide an overview of the 7 basic elements of an effective compliance program. It will entail specific areas of the OIG Work Plan, fraud and abuse, sentencing guidelines, HIPAA, research, coding, conflicts of interest as well as many other topics considered high-risk to healthcare sectors. Risk assessments, prioritization and mitigation are a vital part of any compliance program. The teaching strategies for this course will include lectures, readings, case studies, corporate integrity agreements, significant group discussions, significant participation by the students, student projects and guest speakers. Students will also explore key operational concepts including audits, investigations, enforcement and reporting requirements, billing and coding basics, along with employee and vendor issues. Students will test legal and operational concepts through simulation-based projects and small group exercises, including drafting assignments and mock interviews. This course satisfies the upper level writing requirement and the skills requirement.
LAW 627(3 Credit Hours)
Prerequisites: RCC*; Health Care Law, LAW 686 (may be taken concurrently). The purpose of this three (3) credit hour course is to empower students to become and be practical health care lawyers, taking into account the matters of health care finance. This course employs a client-centric approach for students to learn and then contemporaneously apply their knowledge of the definition of "health care finance"; the moral, political and economic considerations that drive health care finance policy; U.S. health care insurance reform; health law finance regulation and oversight; and the realities of business facing health care providers.
LAW 682(3 Credit Hours)
Prerequisites:RCC*. In this course students will explore the large body of law governing the financial arrangements between health care providers and payors. Students will participate in a detailed examination of (i) The Federal False Claims Act; (ii) The Federal Anti-Kickback Statute; (iii) The "Stark" laws; (iv) the Civil Monetary Penalty Statutes; (v) the Patient Protection and Affordable Care Act (PPACA); (vi) the impact of health care reform legislation on these statutes; (vii) current trends in enforcement; and (viii) cases recently decided as examples of the application of these laws, their prosecution and defense.
LAW 686(3 Credit Hours)
Prerequisites: RCC*. This course will address the legal and business issues facing health care institutions and health care providers, including the business structure of institutions; payment issues, including Medicare, Medicaid and third party reimbursement; state and federal regulations as applied to health care institutions and providers; not-for-profit tax issues arising in the health care context; and business relationships between health care institutions and providers. Satisfies administrative law requirement.
LAW 616(3 Credit Hours)
Prerequisites: RCC. * This course will focus on the federal legislative and regulatory process in the health care arena. It will address the process of how health care laws are developed, enacted, and implemented through the regulatory process. It will examine the role of congressional committees, the congressional budget office, MedPAC, think tanks and stakeholders in developing health related legislation. We will discuss the ways in which the political branches, namely Congress and the President, influence agencies' substantive health policy making process. Finally, some consideration will be given to legislative and regulatory drafting. Satisfies the administrative law requirement.
LAW 738(2 Credit Hours)
LAW 790(3 Credit Hours)
Prerequisites: RCC*. This seminar will provide an opportunity for students to examine in detail special, topical issues in health law. Topics covered may include issues related to malpractice liability, reproductive issues, delivery of health services, regulation of health care institutions, modern bioethical questions, and legal regulation of pharmaceutical companies. Because course content may vary from term to term, students should contact the professor regarding the focus of the course for any particular offering of the course. This is a writing seminar in which students will complete and defend a major paper. Satisfies the upper level writing requirement.
LAW 690(2 Credit Hours)
Prerequisites: RCC*. The course will focus on the laws pertaining to confidentiality and disclosure relative to patient medical documents and information. Most of the course will be based on the Health Insurance Portability and Accountability Act (HIPAA) but Ohio laws that govern medical information privacy will also be examined as will relevant administrative regulations and processes. Satisfies Administrative Law requirement. This is an online course.