Physician credentialing isn’t just a procedural necessity; it's a strategic linchpin in building a...

The Physician Self-Referral Law, also known as Stark Law, bans physicians from referring patients to “designated health services” payable by health coverage programs such as Medicare or Medicaid with which the physician or an immediate family member has a financial relationship (unless a rare exception applies).
In short, Stark Law says you cannot refer patients to other healthcare professionals in exchange for anything of value. The law is intended to protect patients from unnecessary procedures and medical bills. It applies to privately owned medical practices as well as larger medical care providers.
The following companies in these Stark Law cases knew what they were getting into. Let’s see where it got them.
Allegations:
Final payout: $115,000.00
Allegations:
Final payout: $24,500,000.00
Allegations:
Final payout: $237,000,000.00
Allegations:
Final payout: $3,200,000.00
Allegations:
Final payout: $18,800,000
Allegations:
Final payout: $2,900,000
Allegations:
Final payout: $10,000,000
Allegations:
Final payout: $108,000,000
Allegations:
Final payout: $22,000,000
Want to read more medical non-compliance stories? Check out this article on Social Media HIPAA Violations. You can also grab the HIPAA Compliance Checklist to review compliance for your practice.
For more Stark Law information, consider these resources:
Not sure if your practice is compliant? Contact us for a free practice analysis to identify any compliance and liability issues.
(Editors note: This blog was originally published in Jan of 2022 and was updated in December 2023 to reflect current and updated information)
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