Health-care anti-referral laws

Effective January 1, 1995, amendments to Section 1877 of the Medicare Act, commonly known as the Stark law after Congressional sponsor Pete Fourtney Stark, prohibit physicians from referring Medicare or Medicaid patients to healthcare providers with which they have a financial relationship unless an...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The CPA journal (1975) 1995-08, Vol.65 (8), p.20
Hauptverfasser: Ruskin, Melvyn B, Kessler, Ellen F
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 8
container_start_page 20
container_title The CPA journal (1975)
container_volume 65
creator Ruskin, Melvyn B
Kessler, Ellen F
description Effective January 1, 1995, amendments to Section 1877 of the Medicare Act, commonly known as the Stark law after Congressional sponsor Pete Fourtney Stark, prohibit physicians from referring Medicare or Medicaid patients to healthcare providers with which they have a financial relationship unless an exception under the law applies. Accountants for physicians or other healthcare practitioners or providers are in a unique position to identify a potential referral problem and call it to their attention. A growing number of states have enacted some form of anti-referral law and the trend appears to be continuing. After considering the impact of the Federal Stark law, it is imperative to determine if a state referral law is also applicable and to assess its impact on the client's referral practices. Highlights of the anti-referral laws adopted by New York, New Jersey and Connecticut are presented.
format Article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_212249047</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A17381007</galeid><sourcerecordid>A17381007</sourcerecordid><originalsourceid>FETCH-LOGICAL-g1027-57585027ae974b429d41173bf32abf13094e03892a1f5ad15afd0edba7418f053</originalsourceid><addsrcrecordid>eNptzk1LAzEQBuAcFKzVvyDFs4HJV7M5lqJWKHjR8zK7maxbYlaTLf59I_WmzGGG4WHeOWMLsEryRitzwS5LOQCAWK_Vgt3sCOP8xnvMtMI0jzxToJwxriJ-lSt2HjAWuv7tS_b6cP-y3fH98-PTdrPngwBpubGmMXVAclZ3WjqvhbCqC0piF4QCpwlU4ySKYNALg8ED-Q6tFk0Ao5bs9nT3I0-fRypze5iOOdXIVgoptQNtK7o7oQEjtWMK05yxHyhRfXdKFMa63tTcRgD8cP4Pr-Xpfez_-m9zSlVX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>212249047</pqid></control><display><type>article</type><title>Health-care anti-referral laws</title><source>Business Source Complete</source><creator>Ruskin, Melvyn B ; Kessler, Ellen F</creator><creatorcontrib>Ruskin, Melvyn B ; Kessler, Ellen F</creatorcontrib><description>Effective January 1, 1995, amendments to Section 1877 of the Medicare Act, commonly known as the Stark law after Congressional sponsor Pete Fourtney Stark, prohibit physicians from referring Medicare or Medicaid patients to healthcare providers with which they have a financial relationship unless an exception under the law applies. Accountants for physicians or other healthcare practitioners or providers are in a unique position to identify a potential referral problem and call it to their attention. A growing number of states have enacted some form of anti-referral law and the trend appears to be continuing. After considering the impact of the Federal Stark law, it is imperative to determine if a state referral law is also applicable and to assess its impact on the client's referral practices. Highlights of the anti-referral laws adopted by New York, New Jersey and Connecticut are presented.</description><identifier>ISSN: 0732-8435</identifier><language>eng</language><publisher>New York: New York State Society of Certified Public Accountants</publisher><subject>Bans ; Compensation ; CPAs ; Employment ; Fair market value ; Federal legislation ; Fines &amp; penalties ; Health care ; Health care industry ; Health services ; Hospitals ; Incentive plans ; Insurance fraud ; Laws, regulations and rules ; Medicaid ; Medicaid fraud ; Medical care ; Medical laboratories ; Medical law ; Medical personnel ; Medical referral ; Medical referrals ; Medicare ; Medicare fraud ; New Jersey ; Patients ; Physicians ; Prevention ; Referrals ; State laws</subject><ispartof>The CPA journal (1975), 1995-08, Vol.65 (8), p.20</ispartof><rights>COPYRIGHT 1995 New York State Society of Certified Public Accountants</rights><rights>Copyright New York State Society of Certified Public Accountants Aug 1995</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids></links><search><creatorcontrib>Ruskin, Melvyn B</creatorcontrib><creatorcontrib>Kessler, Ellen F</creatorcontrib><title>Health-care anti-referral laws</title><title>The CPA journal (1975)</title><description>Effective January 1, 1995, amendments to Section 1877 of the Medicare Act, commonly known as the Stark law after Congressional sponsor Pete Fourtney Stark, prohibit physicians from referring Medicare or Medicaid patients to healthcare providers with which they have a financial relationship unless an exception under the law applies. Accountants for physicians or other healthcare practitioners or providers are in a unique position to identify a potential referral problem and call it to their attention. A growing number of states have enacted some form of anti-referral law and the trend appears to be continuing. After considering the impact of the Federal Stark law, it is imperative to determine if a state referral law is also applicable and to assess its impact on the client's referral practices. Highlights of the anti-referral laws adopted by New York, New Jersey and Connecticut are presented.</description><subject>Bans</subject><subject>Compensation</subject><subject>CPAs</subject><subject>Employment</subject><subject>Fair market value</subject><subject>Federal legislation</subject><subject>Fines &amp; penalties</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Incentive plans</subject><subject>Insurance fraud</subject><subject>Laws, regulations and rules</subject><subject>Medicaid</subject><subject>Medicaid fraud</subject><subject>Medical care</subject><subject>Medical laboratories</subject><subject>Medical law</subject><subject>Medical personnel</subject><subject>Medical referral</subject><subject>Medical referrals</subject><subject>Medicare</subject><subject>Medicare fraud</subject><subject>New Jersey</subject><subject>Patients</subject><subject>Physicians</subject><subject>Prevention</subject><subject>Referrals</subject><subject>State laws</subject><issn>0732-8435</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptzk1LAzEQBuAcFKzVvyDFs4HJV7M5lqJWKHjR8zK7maxbYlaTLf59I_WmzGGG4WHeOWMLsEryRitzwS5LOQCAWK_Vgt3sCOP8xnvMtMI0jzxToJwxriJ-lSt2HjAWuv7tS_b6cP-y3fH98-PTdrPngwBpubGmMXVAclZ3WjqvhbCqC0piF4QCpwlU4ySKYNALg8ED-Q6tFk0Ao5bs9nT3I0-fRypze5iOOdXIVgoptQNtK7o7oQEjtWMK05yxHyhRfXdKFMa63tTcRgD8cP4Pr-Xpfez_-m9zSlVX</recordid><startdate>19950801</startdate><enddate>19950801</enddate><creator>Ruskin, Melvyn B</creator><creator>Kessler, Ellen F</creator><general>New York State Society of Certified Public Accountants</general><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>4S-</scope><scope>4T-</scope><scope>4U-</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X1</scope><scope>7XB</scope><scope>87Z</scope><scope>8A9</scope><scope>8AO</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ANIOZ</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRAZJ</scope><scope>FRNLG</scope><scope>F~G</scope><scope>K60</scope><scope>K6~</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>19950801</creationdate><title>Health-care anti-referral laws</title><author>Ruskin, Melvyn B ; Kessler, Ellen F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g1027-57585027ae974b429d41173bf32abf13094e03892a1f5ad15afd0edba7418f053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Bans</topic><topic>Compensation</topic><topic>CPAs</topic><topic>Employment</topic><topic>Fair market value</topic><topic>Federal legislation</topic><topic>Fines &amp; penalties</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Incentive plans</topic><topic>Insurance fraud</topic><topic>Laws, regulations and rules</topic><topic>Medicaid</topic><topic>Medicaid fraud</topic><topic>Medical care</topic><topic>Medical laboratories</topic><topic>Medical law</topic><topic>Medical personnel</topic><topic>Medical referral</topic><topic>Medical referrals</topic><topic>Medicare</topic><topic>Medicare fraud</topic><topic>New Jersey</topic><topic>Patients</topic><topic>Physicians</topic><topic>Prevention</topic><topic>Referrals</topic><topic>State laws</topic><toplevel>online_resources</toplevel><creatorcontrib>Ruskin, Melvyn B</creatorcontrib><creatorcontrib>Kessler, Ellen F</creatorcontrib><collection>Global News &amp; ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>BPIR.com Limited</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Accounting &amp; Tax Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Accounting &amp; Tax Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Accounting, Tax &amp; Banking Collection</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Accounting, Tax &amp; Banking Collection (Alumni)</collection><collection>Business Premium Collection (Alumni)</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ABI/INFORM Global</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>The CPA journal (1975)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruskin, Melvyn B</au><au>Kessler, Ellen F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-care anti-referral laws</atitle><jtitle>The CPA journal (1975)</jtitle><date>1995-08-01</date><risdate>1995</risdate><volume>65</volume><issue>8</issue><spage>20</spage><pages>20-</pages><issn>0732-8435</issn><abstract>Effective January 1, 1995, amendments to Section 1877 of the Medicare Act, commonly known as the Stark law after Congressional sponsor Pete Fourtney Stark, prohibit physicians from referring Medicare or Medicaid patients to healthcare providers with which they have a financial relationship unless an exception under the law applies. Accountants for physicians or other healthcare practitioners or providers are in a unique position to identify a potential referral problem and call it to their attention. A growing number of states have enacted some form of anti-referral law and the trend appears to be continuing. After considering the impact of the Federal Stark law, it is imperative to determine if a state referral law is also applicable and to assess its impact on the client's referral practices. Highlights of the anti-referral laws adopted by New York, New Jersey and Connecticut are presented.</abstract><cop>New York</cop><pub>New York State Society of Certified Public Accountants</pub></addata></record>
fulltext fulltext
identifier ISSN: 0732-8435
ispartof The CPA journal (1975), 1995-08, Vol.65 (8), p.20
issn 0732-8435
language eng
recordid cdi_proquest_journals_212249047
source Business Source Complete
subjects Bans
Compensation
CPAs
Employment
Fair market value
Federal legislation
Fines & penalties
Health care
Health care industry
Health services
Hospitals
Incentive plans
Insurance fraud
Laws, regulations and rules
Medicaid
Medicaid fraud
Medical care
Medical laboratories
Medical law
Medical personnel
Medical referral
Medical referrals
Medicare
Medicare fraud
New Jersey
Patients
Physicians
Prevention
Referrals
State laws
title Health-care anti-referral laws
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T21%3A22%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Health-care%20anti-referral%20laws&rft.jtitle=The%20CPA%20journal%20(1975)&rft.au=Ruskin,%20Melvyn%20B&rft.date=1995-08-01&rft.volume=65&rft.issue=8&rft.spage=20&rft.pages=20-&rft.issn=0732-8435&rft_id=info:doi/&rft_dat=%3Cgale_proqu%3EA17381007%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=212249047&rft_id=info:pmid/&rft_galeid=A17381007&rfr_iscdi=true