Compliance & RegulatoryCâu 90 / 100
The physician self-referral law (the Stark Law) generally prohibits a physician from:
a.Referring any patient to a specialist
b.Billing Medicare for office visits
c.Referring Medicare patients for certain designated health services to an entity with which the physician has a financial relationship, unless an exception applies
d.Accepting insurance
Giải thích
The Stark Law bars physicians from referring Medicare patients for specific designated health services to entities in which the physician or an immediate family member has a financial interest, absent a qualifying exception. Unlike the Anti-Kickback Statute, Stark is a strict-liability civil law that does not require intent. Claims resulting from prohibited referrals are not payable.
Trích dẫn luật: CMSLuyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- The federal False Claims Act imposes liability primarily on those who:
- A 'qui tam' provision under the False Claims Act allows:
- The federal Anti-Kickback Statute prohibits:
- The Office of Inspector General (OIG) of the Department of Health and Human Services is primarily responsible for:
- An Advance Beneficiary Notice of Noncoverage (ABN) is given to a Medicare patient to:
- The National Provider Identifier (NPI) is required under HIPAA to:
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