En­sur­ing com­pli­ance with the Stark law

Modern Healthcare - - NEWS - Source: Danielle Sloane, at­tor­ney at Bass Berry & Sims

Train your team to rec­og­nize what con­sti­tutes a “fi­nan­cial re­la­tion­ship” un­der Stark.

Con­firm that each fi­nan­cial ar­range­ment com­plies with a Stark ex­cep­tion be­fore the ar­range­ment be­gins.

When the ex­cep­tion re­quires writ­ten doc­u­men­ta­tion, aim to have for­mal writ­ten agree­ments.

Keep doc­u­men­ta­tion sup­port­ing fair mar­ket value and ex­plain­ing the le­git­i­mate busi­ness pur­pose of a fi­nan­cial ar­range­ment with­out con­sid­er­ing physi­cian re­fer­rals.

Keep gifts, meals and other non­mon­e­tary com­pen­sa­tion to re­fer­ring physi­cians be­low $392 in 2016, and doc­u­ment them.

Pe­ri­od­i­cally re-eval­u­ate whether a physi­cian’s pay re­flects fair mar­ket value and is com­mer­cially rea­son­able with­out con­sid­er­ing re­fer­rals.

In­ves­ti­gate po­ten­tial Stark vi­o­la­tions and re­pay the gov­ern­ment for any tainted claims or self-dis­close the vi­o­la­tion.

Be­fore buy­ing a prac­tice, re­view the reg­u­la­tory com­pli­ance on cur­rent and past physi­cian fi­nan­cial re­la­tion­ships and take steps to re­solve any non­com­pli­ance be­fore clos­ing.

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