decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Stark_Physcian Self-Referral / Stark Sanctions
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Article Overview
This page explains the enforcement consequences associated with Stark self-referral violations and summarizes a limited grace-period provision for providers that fall out of compliance under specified circumstances. It is intended for physicians, billing staff, compliance professionals, and legal or revenue-cycle teams that need a high-level understanding of Stark-related penalties, refund obligations, exclusion risk, and related federal references.
Why This Topic Matters
Stark compliance issues can affect payment, refunds, civil penalties, and program participation, so understanding the scope of sanctions and the limited relief discussed in this article is important for compliance and billing oversight.
Article Sections
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Sanctions for violations of Stark
This section outlines the general enforcement consequences associated with Stark violations and references the federal authorities cited in the article.
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90-day grace period
This section summarizes a limited billing relief provision for certain providers that temporarily fall out of compliance, along with the broad conditions referenced in the article.
What You Will Learn
- The general categories of consequences associated with Stark violations
- The existence of a limited grace-period provision for certain out-of-compliance situations
- The federal statutes and regulations referenced in connection with Stark sanctions and relief
- The types of stakeholders who should pay attention to Stark-related compliance and billing issues
Who Should Read This
- Physicians
- Medical practice managers
- Compliance officers
- Billing and revenue cycle staff
- Health care attorneys
- Medical coders and auditors
Codes Discussed
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