Stark Law: Federal law prohibiting physicians from referring Medicare/Medicaid patients to entities with which they have a financial relationship
Anti-Kickback Statute: Federal law prohibiting the exchange of anything of value to induce or reward referrals of federal healthcare program business
HIPAA: Health Insurance Portability and Accountability Act governing privacy, security, and confidentiality of patient health information
False Claims Act: Federal law imposing liability on persons/companies who defraud governmental programs including Medicare/Medicaid
Civil Monetary Penalties Law: Provides for monetary penalties against individuals/entities who submit false claims to federal healthcare programs
Fair Labor Standards Act: Federal law establishing standards for wage, overtime pay, recordkeeping, and employment conditions
Americans with Disabilities Act: Federal law prohibiting discrimination against individuals with disabilities in employment and other areas
State Medical Practice Acts: State-specific laws governing the practice of medicine, licensing requirements, and scope of practice
Corporate Practice of Medicine: State-specific doctrines regulating the relationship between medical professionals and corporate entities
Medical Staff Bylaws: Professional standards and rules governing medical staff organization and conduct within healthcare facilities
Fair Market Value Requirements: Regulations requiring compensation to be consistent with fair market value to avoid fraud and abuse
Joint Commission Requirements: Standards and requirements set by the Joint Commission for healthcare organization accreditation
Medicare/Medicaid Regulations: Federal regulations governing participation in and billing to Medicare and Medicaid programs
State Privacy Laws: State-specific regulations regarding patient privacy and data protection, often more stringent than HIPAA
Compliance Documentation Requirements: Regulations requiring specific documentation of services, time tracking, and performance metrics for medical directors
