Comprehensive legal authority for healthcare attorneys, compliance officers, ASC administrators, and physician investors — from formation through enforcement defense and exit.
History, feasibility, CON laws, and the six-phase development timeline.
AKS safe harbor compliance, Stark Law analysis, FMV, joint ventures, and succession planning.
All 13 CMS Conditions under 42 C.F.R. Part 416 — governance, surgical services, QAPI, patient rights, and more.
TJC, AAAHC, and AAAASF comparison; state-by-state requirements; dual compliance strategies.
OIG seven elements, FCA exposure, HIPAA, OSHA, exclusion screening, and voluntary self-disclosure.
Clinical, administrative, infection control, compliance, and billing policy frameworks.
ASC payment system, CPT/HCPCS coding, modifiers, No Surprises Act, RAC audits, and the 60-day rule.
Staffing, credentialing, OR scheduling, ASCQR program, EHR systems, and benchmarking.
PE transactions, AI in ASC operations, complex procedures, workforce trends, and legislative horizon.
“When the government comes knocking — or when it’s time to sell — you need more than general healthcare law knowledge. You need a practitioner’s guide to what actually happens.”
FCA liability theories, CID response, parallel investigations, Escobar materiality, DOJ settlement mechanics, and CIA obligations.
RAC/MAC/UPIC audit response, five-level Medicare appeals, OIG Self-Disclosure Protocol, and CMS Self-Referral Disclosure Protocol.
ASC malpractice liability, credentialing negligence, wage-hour claims, whistleblower retaliation, and payer contract disputes.
HCQIA due process, adverse privileging actions, NPDB reporting, medical board investigations, and disruptive physician management.
Five detailed case studies: kickback-based FCA, upcoding, POD enforcement, infection control failures, and qui tam by former employee.
Buy-side and sell-side due diligence, transaction structures, reps & warranties, HSR filing, regulatory approvals, and post-closing integration.
PE exits, hospital JV sales, physician-to-physician transfers, ASC closure mechanics, and staff separation compliance.
Navigate ASC formation, structuring, compliance, and enforcement matters with authoritative regulatory grounding. Every chapter cites the statute, regulation, and OIG guidance — ready to cite in a brief or client memo.
Understand the legal and regulatory framework governing your facility — from CMS survey readiness and QAPI requirements to billing compliance and emergency preparedness. Know what surveyors are looking for before they arrive.
Protect your investment with a clear understanding of AKS safe harbor requirements, governance rights, distribution rules, and exit options. Know the enforcement risks before you sign the operating agreement.
Build and maintain an effective ASC compliance program grounded in OIG guidance, real-world enforcement case studies, and practical policy templates. The model compliance policies in Appendix L are ready to adapt.
Every claim is backed by citation to the U.S. Code, Code of Federal Regulations, OIG guidance, CMS transmittals, or Federal Register — built for legal practitioners who need primary source authority.
Actionable, attorney-authored Practice Tips embedded in every chapter guide practitioners on real decisions — not just what the law says, but what to do about it.
Five detailed government enforcement case analyses in Chapter 14 draw on publicly reported DOJ, OIG, and qui tam actions — translating enforcement history into compliance lessons.
In-depth regulatory supplements for Wisconsin, Texas, Florida, California, New York, and Illinois in Appendix J — matching federal analysis with state-level practical compliance.
Annotated Model ASC Operating Agreement (Appendix K) and three Sample Compliance Policies (Appendix L) — ready to adapt with the guidance of qualified counsel.
A comprehensive Legal Index cross-references every U.S.C. section, C.F.R. provision, OIG advisory opinion, and CMS guidance document cited throughout both volumes.
Contact John Fisher directly to order, inquire about volume discounts, or book a CLE presentation for your firm or organization.
🛒 Purchase Now at compliance-forms.com →Thank you! John will respond to your inquiry within one business day. For urgent matters, email ushealthlaw@gmail.com directly.