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  • 42 Cfr 411.357 - Exceptions To The Referral Prohibition Related To ...

Get 42 Cfr 411.357 - Exceptions To The Referral Prohibition Related To ...

TITLE 42 -- PUBLIC HEALTH CHAPTER IV -- CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES SUBCHAPTER B -- MEDICARE PROGRAM PART 411 -- EXCLUSIONS FROM MEDICARE.

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How to fill out the 42 CFR 411.357 - Exceptions to the referral prohibition online

This guide will assist you in completing the 42 CFR 411.357 form related to Exceptions to the referral prohibition efficiently and accurately. By following the steps outlined here, you can ensure that the information provided meets the necessary requirements.

Follow the steps to complete the form online

  1. Select the ‘Get Form’ button to retrieve the form and open it in your preferred editing application.
  2. Review the introductory information of the form carefully to understand the context and requirements of the compensation arrangements outlined in 42 CFR 411.357.
  3. Begin filling out the first section by providing your personal details such as name, address, and contact information. Ensure all information is accurate and current.
  4. Proceed to the specific subsections that pertain to your situation, including sections on rental of office space, rental of equipment, bona fide employment relationships, and personal service arrangements. Fill each section diligently based on your qualifications and existing agreements.
  5. Ensure that every compensation arrangement you enter does not take into account the volume or value of any referrals or other business generated between the parties.
  6. After completing all relevant sections, review the entire form to check for completeness and any potential errors.
  7. Once all details have been verified and corrected, save the changes made to the form. You may also choose to download, print, or share the completed document as necessary.

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Written Agreements Stark exceptions almost uniformly require written agreements between referring physicians and providers. ... Commercially Reasonable Many Stark exceptions require payment to be commercially reasonable even when referrals are made between physician and health care entity.

3. The agreement must be commercially reasonable even if no referrals were made to the employer. Unlike independent contractor arrangements, employment contracts are not required to be written; the compensation need not be set in advance; and the compensation may be amended at any time.

Vaccines, immunizations, and screening tests are generally allowable Stark exceptions provided they aren't given too often. The tests must be covered by Medicare. Intra-family rural referrals. Additionally, some referrals in rural areas are allowed if the services are for an immediate family member.

The often-revised Stark Law, also known as the Ethics in Patient Referrals Act, has but one basic intent: to prohibit physicians from referring Medicare or Medicaid patients to any designated health service with which either they or members of their immediate families enjoy a direct or indirect financial arrangement.

For example, the following exceptions to the Stark Law require a written, signed agreement: office space and equipment rental, personal service arrangements, physician recruitment arrangements, group practice arrangements, and fair market value compensation arrangements.

The new safe harbors address the following areas: investments in underserved areas; practitioner recruitment in underserved areas; obstetrical malpractice insurance subsidies for underserved areas; sales of practices to hospitals in underserved areas; investments in ambulatory surgical centers; investments in group ...

The Stark statute applies only to physicians who refer Medicare and Medicaid patients for designated health services to entities with which they (or an immediate family member) have a financial relationship. There are almost 20 exceptions to the Stark statute.

There are multiple exceptions to the Stark Law that permit physicians, in certain limited circumstances, to make referrals for federally-covered designated health services. ... Fair Market Compensation Exception A second useful exception to the Stark Law allows for fair market value compensation.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232