What Are the Rules of Stark Law?
Physicians who bill Medicare and Medicaid for patient services are subject to numerous laws that are designed to prevent fraud, waste, and abuse in the federal healthcare reimbursement system. One of these laws is the Stark Law, which imposes substantial civil penalties for unlawful "self-referrals." As a physician, understanding the...
Read moreWhat Is the Difference Between a Physician Self-Referral and a Kickback?
For physicians and other healthcare providers, navigating the statutory and regulatory restrictions on billing for reimbursements from Medicare, Medicaid, Tricare, and other government benefit programs presents some of the greatest challenges – and risks – when it comes to legal compliance. Among the laws that apply are the Physician Self-Referral...
Read moreInvestigating Healthcare Fraud Through A Civil Investigative Demand (CID)
Click imageto see larger version. A common approach federal authorities use to investigate healthcare fraud is through civil investigative demands (CID). CIDs are requests for documentation that prosecutors issue in connection with a federal investigation. Compliance with CIDs is required regardless of whether the recipient is charged with a violation...
Read moreImportant Differences between the Anti-Kickback Statute and Stark Law
Dr. Nick Oberheiden, Esq. Federal-Lawyer.com 888-680-1745 Including Weekends What works in other industries typically does not work in the healthcare industry. It is critical to understand that while it is more than common to pay for business on a quid-pro-quo basis in many other industries, healthcare laws strictly forbid direct...
Read moreWhat You Should Do When You Are Under Stark Law Investigation?
About the Stark Law The Stark Law (42 U.S.C. § 1395nn), also known as the Physician Self-Referral Law, imposes limitations on a physician’s right to refer patients to medical service providers in which the physician (or a family member of the physician) has a financial interest or a financial relationship....
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