Introduction to structure of government, sources of federal, state, and local law, judicial and administrative processes, the role of the lawyer, legal reasoning and analysis, and sources of law that govern and regulate access to U.S. health care system.

Holistic understanding of the various aspects of the healthcare system related to sources of care, sources of payment, and regulatory and other legal systems that constrain and control the behavior of these sources and how these sources impact each other.

Methods used to locate sources of health care regulations that require compliance and to collect required information.

Understanding the role and duties of public health officials in the healthcare system, the various public health regimes that require compliance, and the role of public health funding streams in achieving quality compliance for private parties. Health Care Compliance Certificate Students are excluded.

Moral obligations that influence health care professional norms and regulatory structures. Health Care Compliance Certificate Students are excluded.

Health care contracts. Health Care Compliance Certificate Students are excluded.

Medicare reporting and structural requirements for hospitals.

Communication of health policy concerns to decision makers. Health Care Compliance Certificate Students are excluded.

Health care professionals’ and institutions’ limitation and management of risks.

Navigating the certificate of need process in the health care industry.

Examining health care systems from a legal and structural perspective in nations outside of the United States. Health Care Compliance Certificate Students are excluded.

Introduction to structure of health care practices and their relationships with others, examining the regulatory compliance requirements necessary to maintain nonprofit taxation status at the state and federal levels. Health Care Compliance Certificate Students are excluded.

In-depth examination of compliance with various quality initiatives and an understanding of the sources for the regulations and rules.

Examining federal laws and regulations to prohibit healthcare fraud and abuse.

Providing an understanding of the requirements for properly billing third-party payers.

Advanced issues in bill coding and justification and complexities of fraud and self-dealing prohibitions.

Requirements for organizations that handle protected health information, including information about which entities need to comply with laws protecting such information and to what extent.

Introduction to potential antitrust issues for large scale healthcare organizations, offering a survey of situations that could trigger antitrust investigations and litigation from both state and federal antitrust enforcement agencies.

Learning about health systems through working at an approved location to gain first-hand experience in work related to the student’s course of study. Health Care Compliance Certificate Students are excluded.

A supervised research paper or project on a topic related to health systems compliance or other law related issues affecting a health care system. Study culminates in a 30-50 page paper or equivalent research project.