Health Care Resources
Health Care Associations
American Health Lawyers Association (AHLA)
American Health Information Management Association (AHIMA)
California Hospital Association (CHA)
California Society for Healthcare Attorneys (CSHA)
Healthcare Financial Management Association (HFMA)
Department of Health Care Services (DHCS)
California Department of Public Health (CDPH)
Credentialing Information
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
The National Committee for Quality Assurance (NCQA)
Medical Board of California licensure information
Medical Staff
Peer Review and Reporting Statutes
(California Business and Professions Code § 800 et seq.)
Emergency Medical Treatment and Active Labor Act (EMTALA)
Emergency Medical Treatment and Active Labor Act
Fraud and Abuse
Stark Statute
Stark Regulations (42 CFR § 411.351 et seq.)
California Physician Ownership Referral Act (PORA) (California Business & Professions Code § 650.01)
Federal Anti-kickback Statute
Federal Anti-kickback Regulations [Exceptions] (42 CFR § 1001.952)
California Anti-kickback Statute (California Business & Professions Code § 650)
Health Insurance Portability and Accountability Act (HIPAA)
General Information
Statute
December 4, 2002, Office of Civil Rights Summary of HIPAA Privacy Rules
Final Regulations text (as amended)
August 14, 2002, modifications to the Final Rule
Transaction and Code Sets Standards
Medicare
Centers for Medicare and Medicaid Services (CMS)
Medicare Statutes
Medicare Quarterly Provider Updates
Medicare Conditions of Participations
Medicare Claims Processing Manual
Hospital Manual - 10 (HM-10)
Provider Reimbursement Manual I (15-1)
Provider Reimbursement Manual II (15-2)
National Correct Coding Initiative Edits (NCCI)
Medicaid/Medi-Cal
Centers for Medicare and Medicaid Services (CMS)
Medicaid Statutes
California Managed Health Care
California Department of Managed Health Care (DMHC)
Knox Keene Act (Health & Safety Code §1371, et seq.)
Managed Care Regulations (CCR, Title 28)
Coordination of Benefits (COB)
California Managed Health Care Regulations
(42 CCR §1300.67.13)
General information - Medicare Secondary Payer (MSP)
Secondary Payer (MSP) Manual
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