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Family Rural Referral Arrangement Summary

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IS THERE A STARK LAW VIOLATION IN THIS ARRANGEMENT? Check if applicable
A Did a physician or their (Immediate family member)1 make a referral2?
B Was the referral to an entity for the furnishing of a Designated Health Service3 (DHS) reimbursable by Medicare/Medicaid?
C Is there a Financial Relationship4 between the physician or immediate family member and the DHS Entity5? If a, b and c are checked then there is a prohibition of the Stark Law unless there is an applicable exception to the arrangement.

GENERAL EXCEPTIONS6 FOR OWNERSHIP AND COMPENSATION ARRANGEMENTS. 1 Physician Services7 Exception (Group Practice) a Was the DHS furnished personally or supervised by another physician in the same group practice as the …show more content…
If a, b, c, d and e are checked then the exception applies. 4 Intra-Family Rural Referral Exception a Does the referred patient live in a rural area? b At the time of referral, was there any person or entity available to furnish the DHS within a 25 mile radius or a 45min commute from where the patient resides? c Did the physician or their immediate family member make adequate inquiries whether there were other persons or entities available to provide the DHS? d The arrangement does not violate the AKS. If a , b, c, and d are checked then the exception applies. OWNERSHIP EXCEPTIONS 5 Publicly traded securities and mutual fund exception a Was the security listed for trading on a national securities exchange and available for purchase on the open market? b Was the referral made to the DHS entity BEFORE it went public? c Does the company have at least $75 million in stockholder equity? d Does the entity’s mutual fund total assets exceeding $75 million at the end of its most recent fiscal year, or on average during the previous three fiscal

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