AIS's Directory of Health Plans 2010

How to Guarantee PBM Transparency, Reduce Rx Costs and Maximize Pharmacy Benefits; How to Amend HIPAA Business Associate Agreements to Comply With the HITECH Act; New Medicare Advantage Rates: Health Plan Strategies for Bids Due in June - Webinars


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
Health Plan Enrollment
Pharmacy Benefit Mgmt.
Data Products
 
Health Reform
Obama Administration
Federal Legislation
State Legislation
State Results
Association Positions
Research Organizations
 
MarketPlace
Newsletters
Web Services & Looseleaf Guides
Books & Reports, Directories & Databases
Meetings
Alphabetical Listing
 

Health Care Links
 

 
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: $524 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 just issued, 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 that are updated based on new regulations and advisory opinions
  • Easy-to-follow explanations of prohibitions, exceptions and other rules
  • “Stakeholder” chapters with implications for different health care entities
  • Appendices with regulations, advisory opinions and othre pertinent documents

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

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 Medical Group Practices

 

Qualification as a ‘Group Practice’ under the Stark Law

Chapter 8: 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

  Physical Therapy, Occupational Therapy and Speech-Language Pathology
  Financial Relationships Covered
  Key Exceptions for Outpatient Rehab
  Outpatient Rehabilitation Joint Ventures

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.
  • 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
Vendor Gifts and Relations: Effective Strategies for Health Systems and Hospitals


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

Vendor Gifts and Relations: Effective Strategies for Health Systems and Hospitals

 


Advertise With AIS

Privacy

Site Map


Copyright © 2010 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