Managed Healthcare Executive June 3, 2019
In the 30 years since its passage, Stark Law has become one of the most significant sources of regulatory burden on physicians and, ultimately, for Medicare beneficiaries, according to experts.
Stark Law, also known as the physician self-referral law, it governs physician self-referral for Medicare and Medicaid patients. It is broken down into three provisions:
- Prohibits physicians from making referrals for certain designated health services (DHS) payable by Medicare to an entity in which he or she (or an immediate family member) has a financial relationship (ownership, investment, or compensation), unless an exception applies.
- Prohibits the entity from presenting claims to Medicare (or billing another individual, entity, or third-party payer) for those referred...
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