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Regulatory Compliance for a Medical Practice

by Matt Dickstein on Nov 8, 2011

In this article, I give you a quick overview of the major regulatory compliance areas for physicians and medical practices, namely:
o Referral Laws -- Anti-Kickback and Stark Self-Referrals
o Billing Medicare and Other Payers
o HIPAA
o Supervision of Staff

The regulatory schemes covering medical practices are unbelievably complex, so this article only gives a bird’s eye view. For an outline of legal issues related to a medical corporation, read “Legal Compliance Checklist for a Medical Corporation” on my website You should also read the related set of articles that you’ll find linked in that article.

Without further adieu,

The Referral Laws: Anti-Kickback and Stark Self-Referral

Both the US and California have their own versions of the anti-kickback and Stark self-referral laws. To sum them up: Don’t make or take referrals for money.

o Under the anti-kickback laws, a physician may...Read More >>



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