Book Description

Federal and state law restrictions on financial relationships between health care providers have undergone significant growth in the past decade. As the health care industry consolidates to form managed care systems and networks of providers, the financial relationship between providers becomes crucial in determining what referrals, marketing strategies, and billing practices are permissible. Defining the boundaries of permissible conduct under a myriad of statutes at both the federal and state level has become a difficult undertaking. This manual offers a variety of tools to assist attorneys and providers in understanding the complexities of the so-called Stark laws and regulations as well and presents a comprehensive state-by-state review of referral laws. Definitions, hypothetical case studies, full text of laws, regulations, and advisory opinions, corporate compliance polices relating to physician referrals, and checklists for determining the legality of specific financial arrangements make this an invaluable resource.