“Conditions for Coverage of Specialized Services by Suppliers”

It is important for a healthcare administrator to be able to read and understand the various types of laws because they have the oversight of the entire hospital administration and their best interest at heart for both the patient and staff.  According to the article written at Texas A&M (author unk), we all wish our doctors are aware of current laws set in place and ethical concerns in healthcare because without them who would pay when medical malpractice is committed or more importantly when someone suffers and injury or dies.  All physicians take an oath to “do no harm,” and the concept seems simple, however, the reality of laws and ethics in healthcare is much gloomier.   Being the clinical staff is busy, the health administrator is more equipped to have the time to deal with the ethical side of healthcare.  Some of the biggest laws are HIPAA (Health Insurance Portability and Accountability Act), False Claims Act, Stark Law, and Anti-Kickback Law.  These are laws that a Health Administrator should familiarize themselves with because 9/10 they will come into contact with at least one in the span on their career and will need to know the ins and outs, especially HIPAA.  HIPAA protects patients privacy with regards to treatment and their medical records.  It’s a huge program.  The False Claims Act covers fraud against the government.  Stark law isn’t a very known law but it’s where a physician refers a patient to one of their family members or financial partner for care.  Anti-Kickback Law prohibits the exchange of anything of value in an effort to induce the referral of federal health care program business.  (Texas A&M, 2017) . This being said if the health administrator doesn’t know the importance of these laws then it could lead to malpractice, sentinel event, or death.