The Centers for Medicare and Medicaid Services (CMS) has made changes in the physician self-referral law (also known as the “Stark Law”) which will affect physician compensation plans. In particular, if the hospital or health system is trying to meet either of the following exceptions: indir...
Currently under the Stark law, the physician recruitment exception (42 C.F.R. § 411.357(e)) permits hospitals, Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to provide remuneration to physicians and/or group practices to assist with recruitment and/or retention of...
Stark law understanding and compliance are integral to ancillary services development by medical group practices. It is paramount that physicians adhere to group practice requirements, as well as understand and anticipate the dynamics of changing legislation and Center for Medicare and Medicaid Services ...
The ethics in patient referrals act, enacted in 1989, is also known as the Stark Law. It is named after former Rep Fortney “Pete” Stark (D-CA), who was the sponsor of the law in Congress.1 The goal of the Stark Law was to prevent physicians from self-referring patients for their...
These changes necessitate a deep understanding of both the law and the evolving regulations, as non-compliance can lead to significant penalties. Nov 1, 2024Preparing For 2025 Stark Enforcement Regarding Compensation and Productivity Bonuses Oct 1, 20245 Stark law issues physicians are closely watching...
How Are Your Physicians Compensated? Stark Law + False Claims Act = Halifax Paying $85 Million B Taylor 被引量: 0发表: 0年 Kickbacks, Self-Referrals, and False Claims: The Hazy Boundaries of Health-care Fraud The fraud and abuse laws that govern conduct related to the federal health-...
In addition, the Stark Law applies only to relationships with physicians.The Stark Law, unlike the Anti-Kickback Statute, flatly prohibits a broad range of financial relationships, and does not require proof of an intent to induce referrals. Determining whether a particular financial relationship ...
Judge Wynn wrote a Concurring Opinion that summarizes the real risk to health care providers under Stark. He emphasized the growing complexity of Stark Law and its copious associated rules and regulations, noting that despite attempts to establish bright line rules, physicians and attorneys alike stru...
Stark Law Also known as the Physician Self-Referral Law, the Stark Law prohibits physicians from referring Medicare patients for certain designated health services to entities with which the physician or an immediate family member has a financial relationship, unless an exception applies. ...
Part of the Social Security Act, the Stark Law prohibits physicians from making referrals for services payable by CMS, including clinical laboratory services, to an entity with which the physician has a financial relationship.2,7 An exception is made for “in-office” ancillary services: a dermat...