The Stark Law: A User's Guide to Achieving Compliance

Front Cover
HC Pro, Inc., 2009 - Medical - 367 pages
Stark Law, Second Edition: A User's Guide to Achieving Compliance

Penalties for violations can include $15,000 per claim--and you can be fined for even unintentional violations. Further consequences involve potential exclusion from participation in Medicare, Medicaid, and other federal health care programs.It's tough to simplify a complex rule. Here's help.

You will be well equipped to protect your organization from the severe consequences of Stark Law violations with the practical analytical tools and explanations provided in "Stark Law: A User's Guide to Achieving Compliance, Second Edition. "

This updated version of HCPro's Stark Law best seller, first published in 2005--and now co-authored by former CMS Stark Law regulator, Lisa Ohrin--helps health care providers, practitioners, suppliers, and other affected members of the health care industry understand the many recent changes in the Stark Law. It explains each provision of the rule and its practical effect for compliance professionals.There are no compliance shortcuts

Since issuing its long-awaited Stark II, Phase III Regulations, CMS proposed and finalized a host of additional regulations, notices, and clarifications, including a major final rulemaking in August 2008. The number and speed of these changes add yet another layer to the already complex web of rules and regulations governing Stark Law compliance.
Your copy of "Stark Law: A User's Guide to Achieving Compliance, Second Edition, " delivers:

  • A thorough explanation of how the 2007 and 2008 regulations impact the Law as a whole, as well as your organization
  • Access to a comprehensive outline of the entire Law in one location, from the initial proposed regulations through the most recent updates
  • Scores of easy-to-understand case studies, which illustrate the application of the Law
  • A searchable CD-ROM to help you find specific citations
Take a look at the Table of Contents:
Chapter 1: Background and Analytical Framework
Chapter 2: Definitions
Chapter 3: Designated Health Services
Chapter 4: Referrals
Chapter 5: Financial Relationships
Chapter 6: All-Purpose Exceptions
Chapter 7: Ownership Interest Exceptions
Chapter 8: Direct Compensation Exception
Chapter 9: Indirect Compensation Arrangements Exception
Chapter 10: Exceptions for Physician Recruitment and Retention Payments in Underserved Areas
Chapter 11: Period of Disallowance, Temporary Noncompliance, and Technical Noncompliance
Chapter 12: Sanctions, Collateral Consequences, and Reporting Requirements
Chapter 13: Advisory Opinions

With such high stakes, your organization needs "Stark Law: A User's Guide to Achieving Compliance, Second Edition, " to remain on top of the recent amendments to the Law.

 

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Contents

Physician
17
Fair Market Value Set in Advance Volume or Value
27
Designated Health Services
59
Referral
81
To
91
Furnishing
99
Financial Relationships
105
AllPurpose Exceptions
149
Isolated Transactions
232
Remuneration Unrelated to DHS
234
Group Practice Arrangements with Hospitals
237
Payments by a Physician
239
Charitable Donations by a Physician
241
Nonmonetary Compensation
243
Fair Market Value Compensation
247
Medical Staff Incidental Benefits
249

InOffice Ancillary Services and Physician Services
152
Academic Medical Centers
177
Services Furnished to Enrollees of Prepaid Plans
182
DialysisRelated Outpatient Prescription Drugs
183
Preventative Screening Immunizations and Vaccines
184
IntraFamily Rural Referrals
185
Ownership Interest Exceptions
193
Publicly Traded Securities
195
Mutual Funds
197
Whole Hospital
199
Direct Compensation Arrangement Exceptions
205
Rental of Office Space
209
Rental of Equipment
217
Bona Fide Employment Relationships
222
Exception for Personal Service Arrangements
226
RiskSharing Arrangements
252
Compliance Training
254
Referral Services
255
Obstetrical Malpractice Insurance Subsidies
257
Professional Courtesy
262
Communitywide Health Information Systems
264
EPrescribing
266
Electronic Health Record EHR
268
Indirect Compensation Arrangements Exception
281
Exceptions for Physician Recruitment and Retention Payments in Underserved Areas
295
Period of Disallowance Temporary Noncompliance and Technical Noncompliance
323
Sanctions Collateral Consequences and Reporting Requirements
337
Background
361
Copyright

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