tci Medicare Compliance & Reimbursement - 2006 Issue 12

Compliance: 4 Tricky Stark Law Exceptions Just Got Simpler

Flat fees, fair-market payments won't land providers in hot water.Nobody ever accused the Stark law of stark simplicity.That law, named for Rep. Fortney "Pete" Stark (D-CA), says doctors can't refer patients to anyone with whom they have financial relationships, including hospitals. There are myriad exceptions to the rule, but they're head-achingly complicated. Luckily, a few of the exceptions have become simpler recently.1. Indirect compensation relationships. Instead of the doctor making a deal with a hospital directly, the doctor makes a deal through a third party, like a medical group. That way, the doctor doesn't have a...

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