Health Services Organization: Corporate Compliance
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Choose one of the pieces of compliance legislation: Stark 2 Laws, HIPAA, False Claims Act, and write a response that addresses the following:
A brief summary of the legislation
A list of actionable items that health care administrators should engage in to address the legislation and protect their organizations against non-compliance with the stated legislation.
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Solution Summary
This solution chooses one of the pieces of compliance legislation: Stark 2 Laws, HIPAA, False Claims Act, and provides a brief summary of the legislation and describes the actionable items that health care administrators should engage in to address the legislation and protect their organizations against non-compliance with the stated legislation.
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Stark II addresses the consulting and relationships between hospitals, doctors and companies. For example, the purpose of the law is to prohibit physician self-referrals. Basically, the law applies to any physician who provides care to Medicare, Medicaid or other federal health program recipients and says that the physician cannot refer the patient for certain designated health services to any entity with which the physician has a financial interest That is, unless one of Stark's exceptions apply. Section 411.355 of the rule provides for nine exceptions under this category, of which four were included in the January 1998 proposal, and five are newly added by the final rule (Stark II Analysis and Summary) Phase III if the Stark Law mandated that institutional health care providers must restructure arrangements with physicians before December 4, 2007 (see . http://www.mwe.com/index.cfm/fuseaction/publications.nldetail/object_id/9e10f4bf-148b-4702-8da5-92a423cb2366.cfm)
A referral under Stark is any of the Stark Designated Health Services which healthcare administration or doctors request, order or certify the medical necessity of as well as any incident-to services under your supervision are considered referrals ...
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