Legal and Regulatory Considerations of Diabetes Disease Management Chapter uri icon

abstract

  • Laws and regulations pertaining to health care have increased dramatically in the past 20 years and have assumed heightened, some would say overstated, significance in the operation of health plans and patient care services. Many health care organizations are not fortunate enough to have an attorney available for frequent consultation. Therefore, acquiring a basic understanding of the laws affecting the delivery of health care is a valuable investment of time and money. In this chapter, we provide an overview review of laws and regulations and discuss certification and accreditation options that pertain to diabetes disease management (DM). Our discussion includes recently enacted Medicare and MedicaidDMprovisions, HIPAA, as well as a discussion of accreditation programs such as the Joint Commission for Accreditation for Hospital Organizations (JCAHO), National Commission for Quality Assurance (NCQA), Utilization Review and Accreditation Committee (URAC), and the American Diabetes Association (ADA).

author list (cited authors)

  • Bolin, J. N., Gamm, L., & Kash, B. A.

citation count

  • 0

editor list (cited editors)

  • Zazworsky, D., Bolin, J. N., & Gaubeca, V. B.

Book Title

  • Handbook of Diabetes Management

publication date

  • December 2007