Never-Event Payment Policies - How Health Plans Are Getting Tough on Preventable Hospital Errors; Implementing 'Medical Homes' to Improve Patient Care and the Bottom Line


AISHealth.com - Specialized Business Information for Health Care Managers Health Reform Pharmacy Benefit Consumer-Directed Care Compliance Market Data Health Plans
 HOME
 New on the Site
Customer Service
Sample Newsletters MarketPlace
AIS Products & Services

E-Savings Club weekly specials

Free E-Mail Newsletters
Health Business Daily
Government News
Sign Up for Free E-Mail Newsletters

Health Business Job Openings

Health Business Meetings

People on the Move
 
Health Plans
General Business Issues
Product News
Company Intelligence
Disease Management
Blue Cross and Blue Shield
Medicare Advantage
Managed Medicaid
Health Plan Products
Compliance
Compliance Strategies
HIPAA Resource Center
Government Resources
Compliance Products
Pharmacy Benefit
Pharmacy Benefit Mgmt.
Specialty Pharmacy
Drug Mgmt. Products
Consumer-Directed Care
Articles on CDH
CDH Data
CDH Products
Market Data
Managed Care Enrollment
Pharmacy Benefit Mgmt.
Data Products
 
Health Reform
Presidential Candidates' Proposals
Federal Legislation
State Legislation
 
MarketPlace
Newsletters
Looseleaf Guides
Books, Directories & Reports
Live Seminars & Audioconferences
Alphabetical Listing

Health Care Links
 
Search AISHealth.com
 
Visit AISEducation.com for more news and strategic information for today's business leaders
 
A Guide to Complying With Stark Physician Self-Referral Rules

Table of Contents
Photo of Publication
Written By
Written For
AIS Guarantee
Shipping Information
Related Publications
 
Order Now
Order Now
(secure site)
 
View Cart View Cart

Place an order or get more information at 800-521-4323


Price: $511 annually
Format: Looseleaf guide, companion CD version, quarterly updates and news summaries for one year.
ISBN:
1-931467-77-3
Pub Code: LSTA

With the new Stark regulations issued in September 2007, the rules of the game have changed once again. A Guide to Complying With Stark Physician Self-Referral Rules is the hands-on help you need to reassess your compensation, financial and other business arrangements — and avoid potentially enormous fines, penalties and lawsuits.

When you subscribe to A Guide to Complying With Stark Physician Self-Referral Rules, our team of legal experts — from the law firm McDermott Will & Emery LLP — will:

  • Walk you through the basic rules and the exceptions
  • Identify the kind of arrangements that will meet the Stark exceptions
  • Explain the impact new regulations have on existing arrangements and what you need to do to minimize your risks
  • Pinpoint the types of deals that will bring the HHS OIG to your doorstep

The comprehensive how-to-do-it looseleaf guide also comes with a searchable CD containing all of the information in the print edition, including:

  • Highly practical chapters based on regulations and opinions
  • Easy-to-follow explanations of prohibitions and exceptions
  • “Stakeholder” chapters with implications for different health care entities
  • Appendices with regulations, advisory opinions and much more

Stark rules are very complex, apply to a wide range of business deals and have numerous gray areas that require you to assemble many puzzle pieces, some of which are more than 10 years old. And just when you think you understand the rules, CMS issues more changes to send you back to the drawing board.

A Guide to Complying With Stark Physician Self-Referral Rules is the industry’s #1 roadmap to ever-changing Stark compliance — the best resource there is for making sure your contracts and business deals won't get you into legal trouble. Order your no-risk subscription today!

Table of Contents

Chapter 1: Introduction To The Physician Self-Referral Prohibition

Environmental Factors Stimulating Self-Referral Growth

Early Legislative Responses to the Growth of Self-Referrals

Stark I—The Laboratory Ownership Prohibition

Additional Challenges to Self-Referrals

Stark II—The Broad Scale Prohibition against Self-Referrals

Chapter 2: The General Prohibition on Self-Referrals and Associated Billing and Payment

The Scope of the Ban on Self-Referrals

Key Terms

Chapter 3: Designated Health Services

The Scope of Services Considered Designated Health Services

Chapter 4: The Stark Law Exceptions

General Exceptions

Permitted Ownership and Investment Interests

Permitted Compensation Arrangements

The ‘Innocent Entity’ Exceptions and Related State of Mind Issues

Chapter 5: Reporting, Compliance and Enforcement

Reporting Requirements and  Document Retention

Advisory Opinions

Sanctions for Violations of the Stark Law Prohibitions

Internal Investigations and Voluntary Disclosure

The False Claims Act and Qui Tam Actions

Chapter 6: Hospital-Physician Arrangements

Equity Investment by a Physician in a Hospital

Personal Service Arrangements

Rental Arrangements

Physician Recruitment Arrangements

Physician Retention Arrangements

Other Possible Compensation Arrangements

Chapter 7: Special Issues Affecting Physician Compensation

 

Chapter 8: Special Issues Affecting Medical Group Practices

Qualification as a ‘Group Practice’ under the Stark Law

Unique Exceptions Available Only in the Group Practice Context

Chapter 9: Special Issues Affecting Other Health Care Entities

Specialty Hospitals

Academic Medical Centers

Ambulatory Surgery Centers

Rural Health Care Providers

Clinical Laboratories

End-Stage Renal Disease

Outpatient Rehabilitation Services

The Stark Law and Medical Imaging

Medical and Radiation Oncology Arrangements

  Pharmaceutical and Medical Device Industries

Managed Care Arrangements

Appendicies

Statutory Language

Regulatory Language

Preambles to the Regulations

Advisory Opinions and Other Guidance

CMS  Guidance

 

Written By

A Guide to Complying With Stark Physician Self-Referral Rules is written by a team of experienced health care attorneys from the law firm McDermott Will & Emery LLP:

  • Douglas M. Mancino is the leader of the team of authors from the law firm of McDermott Will & Emery and a partner in the firm's Los Angeles office. Mr. Mancino has represented all types of health care organizations for more than 25 years on tax, business and financial matters, as well as fraud and abuse, self-referral and other regulatory issues.
  • Timothy P. Blanchard is a partner in the Health Law Department of McDermott Will & Emery's Los Angeles office.
  • Ira J. Coleman is managing partner of McDermott Will & Emery's Miami office and partner in charge of the Miami Health Law Department.
  • Gary Scott Davis is a partner in the Health Law Department of McDermott Will & Emery's Miami office.
  • Gary B. Gertler is the partner in charge of the Health Law Department of McDermott Will & Emery's Los Angeles office.
  • Eric B. Gordon, M.D., J.D. is a partner in the Health Law Department of McDermott Will & Emery's Los Angeles office.
  • Daniel F. Gottlieb is a partner in the Health Law Department of McDermott Will & Emery's Chicago office.
  • Russell Hayman is a partner in the Health Law Department of McDermott Will & Emery's Los Angeles office.
  • Daniel H. Melvin is a partner in the Health Law Department of McDermott Will & Emery's Chicago office.
  • Joan F. Polacheck is a partner in the Health Law Department of McDermott Will & Emery's Chicago office.
  • Eric Zimmerman is a partner in the Health Law Department of McDermott Will & Emery's Washington, D.C. office.

 

Written For

  • Physicians and medical group managers
  • Hospital and health systems executives
  • Health plan managers
  • Providers of designated health services
    • Clinical labs
    • PT
    • Occupational therapy
    • DME
    • Home health
    • Radiology
    • Radiation therapy
    • Parenteral & enteral
    • Prosthetics & orthotics
    • Outpatient Rx drugs
    • Hospital services
  • Attorneys and Consultants

 

AIS Guarantee

Order A Guide to Complying With Stark Physician Self-Referral Rules for a 30-day risk-free inspection and test for yourself the value of this highly practical resource. If within 30 days you're not interested in keeping it, just return it to AIS and we will send you a prompt, full refund or credit.

 

Shipping Information

This item ships via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes). You should receive your Guide within 5-7 business days. Shipping cost is $5 per item.

Rush Orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

 

Related Publications

Report on Medicare Compliance
49 Steps to Implement Sarbanes-Oxley Best Practices


For further information call 800-521-4323 or e-mail customerserv@aispub.com
 
Print an order form:
If you do not wish to place your order online, click here to download a printable order form (PDF file), then submit your order via fax or mail, as directed on the form.

Related Publications

Report on Medicare Compliance

49 Steps to Implement Sarbanes-Oxley Best Practices

 


Advertise With AIS

Privacy

Site Map


Copyright © 2008 by Atlantic Information Services, Inc. All rights reserved.
1100 17th Street, NW, Suite 300, Washington, DC 20036
Phone 202-775-9008 or 800-521-4323; E-mail
customerserv@aispub.com