Question

quizlet the compliance officer of apple internal medicine group explains to the board that the stark law is similar to which regulation listed below, but applies only to physician relationships with entities that bill medicare or medicaid? a. false claims act b. self-referral law c. anti-kickback statute d. exclusion law

Answer 1

In many ways, the Anti-Kickback Statute and Stark Law are comparable.

The Anti-Kickback Statute and Stark Law are similar in many ways, but they differ in that the former requires far more evidence to initiate legal action against a healthcare practitioner and covers a much larger spectrum of fraudulent activities than the latter. The Stark law forbids payments for specific "Designated Healthcare Services" that are delivered through an illegal referral and calls for repayment of any sums that were unjustly billed and taken in. In cases when a person submits an erroneous claim that was made through a banned referral and has not repaid the payment, it provides for a civil monetary penalty (up to $15,000 per service) and exclusion from government programmes.

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