In general, the federal law (commonly known as the “Stark Law”) prohibits a physician from makinga referral to an entity for the provision of designated health services (DHS) payable by Medicare if thephysician has a financial relationship with the entity, unless an exception applies, and prohibits theentity from billing for such prohibited services. (42 U.S.C. §1395nn.)
2017 Health Law Library
Fraud and Abuse: Referral Issues
- Federal Antikickback Safe Harbors
- Gifts and Free Services (Including Promotional Items)
- Kickbacks and Fee-Splitting--Other Laws Used to Deter Payments for Referrals
- Physician-Hospital Compensation Arrangements and the Potential for Improper Referrals
- Professional Courtesy
- Prohibitions Against Kickbacks and Fee-Splitting
- Referring Patients If the Practice is not Prohibited Altogether, is it Safe from Antikickback Prosec
- Self-Referral Prohibitions: California Overview
- Self-Referral Prohibitions: Federal Exceptions Related to Both Ownership and Investment Interests
- Self-Referral Prohibitions: Federal Exceptions Related to Electronic Information
- Self-Referral Prohibitions: Federal Exceptions Related to Managed Care Arrangements
- Self-Referral Prohibitions: Federal Exceptions Related to Other Compensation Arrangements
- Self-Referral Prohibitions: Federal Exceptions Related to Rural or Underserved Areas
- Self-Referral Prohibitions: Federal Overview
- Self-Referral Prohibitions: Federal Physician and In-Office Ancillary Services, Academic Medical Centers and Group Practice Exceptions
Document Details
Self-Referral Prohibitions: Federal Exceptions Related to Other Compensation Arrangements
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