Stark Law Compliance - MedPro HCP Data for Aggregation & Tracking

History Of The Stark Law

The following information is provided via the Stark Law website:

Stark law, actually three separate provisions, governs physician self-referral for Medicare and Medicaid patients. The law is named for United States Congressman Pete Stark, who sponsored the initial bill. Here is a list of Stark Guidelines and their ramifications. Stark and physician referrals to facilities in which there is a financial interest. Physician self-referral is the practice of a physician referring a patient to a medical facility in which he has a financial interest, be it ownership, investment, or a structured compensation arrangement. Critics of the practice allege an inherent conflict of interest, given the physician's position to benefit from the referral. They suggest that such arrangements may encourage over-utilization of services, in turn driving up health care costs. In addition, they believe that it would create a captive referral system, which limits competition by other providers. Others respond to these concerns by stating that while problems exist, they are not widespread. Further, these observers contend that, in many cases, physician investors are responding to a demonstrated need which would otherwise not be met, particularly in a medically underserved area.

MedPro can provide authoritative HCP data that can assist in the aggregation and tracking of transfers of value to HCPs to comply with Stark Law regulations. Common solutions to provide HCP data for Stark Law compliance include WebID®, BulkID, MedPro Concur Connect and WebServicesID®.

To learn more about federal Stark Law please visit the Stark Law website:

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