Regulation Comparisons
Side-by-side analysis of commonly confused healthcare regulations. Understand the key differences, when each applies, and how they interact.
Stark Law vs. Anti-Kickback Statute
The two most commonly confused healthcare fraud laws. One is strict liability, the other requires intent. Side-by-side table with penalties, exceptions vs safe harbors, and common scenarios.
HIPAA Privacy Rule vs. Security Rule
One covers all PHI, the other only electronic. Different requirements, different safeguards, different enforcement. How they work together and where they diverge.
Federal HIPAA vs. State Privacy Laws
When does state law override HIPAA? Preemption rules, breach notification timelines, minor consent, reproductive health, and how to determine which law applies.
Medicare vs. Medicaid Compliance Requirements
Two federal healthcare programs with different eligibility, administration, payment systems, and compliance obligations. Covers provider enrollment, fraud enforcement, key CFR references, and dual-eligible pitfalls.
HIPAA vs. 42 CFR Part 2 (Substance Use Records)
HIPAA governs all PHI. 42 CFR Part 2 adds stricter protections for substance use disorder treatment records. Covers consent, redisclosure, enforcement, the 2024 final rule, and practical scenarios for integrated care.
Conditions of Participation vs. Conditions for Coverage
Medicare uses two parallel certification frameworks. CoPs cover hospitals, SNFs, home health, and hospice. CfCs cover ASCs, ESRD facilities, CAHs, and transplant centers. Different survey processes, deemed status rules, enforcement remedies, and QAPI requirements.