Overview of Healthcare Compliance provides a comprehensive introduction to the laws, regulations, ethical principles, and organizational practices that guide compliant healthcare delivery in the United States. Designed for students and emerging professionals, the text explains how compliance functions within a rapidly evolving healthcare system shaped by shifting policies, expanding technologies, and diverse care settings.

Across eight chapters, the book explores the history of U.S. healthcare; the foundations of compliance programs; key laws related to fraud, abuse, and documentation; the roles of enforcement agencies; payer and provider models; insurance and reimbursement; healthcare technology and cybersecurity; and emerging issues in quality, safety, and population health. Chapters define essential terminology and integrate real-world examples—from HIPAA violations to fraud investigations—illustrating how compliance challenges arise in practice.

To support learning and application, each chapter includes learning objectives, key terms, summaries, and discussion questions. With clear explanations and an emphasis on prevention, detection, and correction, Overview of Healthcare Compliance equips readers with the foundational knowledge required to navigate regulatory expectations and support ethical, lawful, and high-quality healthcare operations.

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