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Stark Law

Learn about Stark Law, including the definition of referral, financial relationship, and key concepts in Stark Law exceptions, such as fair market value.

Transcript

The Ethics in Patient Referrals Act is a federal civil law that’s more commonly referred to as the Stark Law after the bill’s sponsor, US Representative Pete Stark. The act is also sometimes referred to as the Physician Self-Referral Law because, in general, it prohibits doctors from referring Medicare patients to the doctor’s own entities. Specifically, the Stark Law prohibits doctors from referring Medicare and Medicaid patients for specific, listed services if the...

Lessons

1. Welcome
  • Welcome to Healthcare Law
2. Health Insurance
3. The Structure of Healthcare Entities
  • The Professional Workforce
  • Forming a Healthcare Entity
  • Fiduciary Duties at Healthcare Entities
  • Tax-Exempt Status
  • Joint Ventures and Tax-Exempt Status
4. Fraud and Abuse in Healthcare
5. Antitrust Issues in Healthcare
  • Overview of Antitrust Laws in Healthcare
  • Mergers and Acquisitions in Healthcare
  • Working with Competitors
  • Payers with Market Power
6. Tort Liability of Healthcare Entities
  • The Physician-Patient Relationship
  • Physician Duties Regarding Information
  • Physician Duties Regarding Clinical Care
  • Hospital and Health Plan Liability
7. Recurring Legal Issues in Patient Care
8. Public Health Law