decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Referrals / Stark Provisions Affecting Referrals / Stark Definition - 'Volume or Value' Standard
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Article Overview
This article covers a Stark Law topic focused on how the volume-or-value standard applies to physician compensation arrangements, referral-related payments, and certain leasing or rental structures. It is intended for coding and compliance audiences that need a high-level understanding of the scope of permitted arrangements and the regulatory context referenced in the discussion. The article also points readers to related fair market value material and cites federal regulatory authority.
Why This Topic Matters
Understanding this Stark Law concept helps readers recognize when compensation arrangements may raise compliance concerns and what broad categories of arrangements are discussed in the regulatory framework. It is relevant to organizations and professionals managing referral relationships, physician contracting, and health care compliance review.
What You Will Learn
- How the Stark volume-or-value standard is framed in the context of physician compensation
- What broad categories of arrangements are discussed in relation to referral-linked payments
- How fair market value and federal regulatory references relate to the topic
- Why this concept matters for compliance review of physician arrangements
Who Should Read This
- Medical coders
- Compliance professionals
- Healthcare attorneys
- Physician practice administrators
- Revenue cycle professionals
Codes Discussed
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