Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Phase I Stark II regulations provide some flexibility.

L Chase1

  • 1Brown & Bain, PA, Tucson, Arizona, USA. chase@brownbain.com

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|October 9, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Achievement of Target Gain Larger than Unity in an Inertial Fusion Experiment.

Physical review letters·2024
Same author

Lawson Criterion for Ignition Exceeded in an Inertial Fusion Experiment.

Physical review letters·2022
Same author

The gap between coverage and care-what can Canadian paediatricians do about access to health services for refugee claimant children?

Paediatrics & child health·2018
Same author

Building the modern seaside town: town planning in interwar Clacton.

Planning history·2010
Same author

Consensus statement on epidemiological studies of medical conditions in tennis, April 2009.

British journal of sports medicine·2009
Same author

The Stark II regulations: an analysis.

The Western journal of medicine·2001
Same journal

Highlights from the HFM blog.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Hospitals face challenges from Medicare cost and payment trends.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

The fate of value-based care with an ACA repeal.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Beyond the Medicare annual well visit: maximizing revenue for hospital-owned practices.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Incorporating social determinants into population health management.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
Same journal

Health Care 2020 Part 3: Consolidation.

Healthcare financial management : journal of the Healthcare Financial Management Association·2018
See all related articles

Physicians must understand Stark II regulations to avoid penalties when referring Medicare patients for designated health services (DHS). Compliance requires understanding financial relationships and referral guidelines to prevent violations.

Area of Science:

  • Healthcare Law
  • Medical Ethics
  • Health Policy

Background:

  • The Centers for Medicare and Medicaid Services (CMS) enacted Stark II regulations in January 2001.
  • Stark II prohibits physician referrals for designated health services (DHS) if a financial relationship exists with the entity.
  • Financial relationships include ownership or compensation arrangements, direct or indirect.

Purpose of the Study:

  • To inform healthcare providers about the implications of Stark II Phase I regulations.
  • To clarify physician referral prohibitions and financial relationship definitions under Stark II.
  • To guide physicians in ensuring compliance and avoiding legal sanctions.

Main Methods:

  • Analysis of the Centers for Medicare and Medicaid Services (CMS) Stark II final rule.

Related Experiment Videos

  • Examination of prohibitions on physician referrals for designated health services (DHS).
  • Review of definitions for financial relationships (ownership, compensation) and their implications.

    • Main Results:

    • The Stark II final rule differs significantly from the proposed rule.
    • Physicians must ensure compensation arrangements are fair market value and not tied to referral volume.
    • Sanctions for violations include payment denial, refunds, and civil penalties.

    Conclusions:

    • Healthcare providers must understand Stark II to avoid violations.
    • Key areas of understanding include entity definition, CMS referral views, and DHS identification.
    • Proactive compliance is essential to prevent legal and financial repercussions.