Title: What is-- Stark law? /
Authors: Romano, Donald H.,; Anderman, Jonathan E.,; Fisher, Matthew R.,; Fisher, Matthew R.,; American Bar Association.
Year: 2014
Subjects: Physician Self-Referral legislation & jurisprudence; Medical referral Law and legislation United States.; Medicare Law and legislation.; Medicaid Law and legislation.; United States
Abstract: "The Physician Self-Referral Law, commonly known as the Stark Law (42 U.S.C. ss.1395nn), prohibits a physician from referring Medicare patients for certain services defined as designated health services (DHS) to an entity with which the physician or an immediate family member has a direct or indirect 'financial relationship.' The law also prohibits an 'entity' such as a hospital or other provider or supplier from billing for DHS furnished as a result of a prohibited referral. The Stark Law is a strict liability law, which means that no intent to violate the statute is necessary for claims for DHS to be denied or a violation to be found. Despite Stark being a strict liability statute, there are enhanced penalties for knowing violations"--Introduction, page ix.
Contents: The Stark Law -- Stark regulations -- Interpretations of the Stark Law -- Penalties and compromise.