STARK EXCEPTIONS


Publicly Traded Securities

42 U.S.C. § 1395nn(c) and

42 C.F.R. § 411.356(a) and (b)

Space Rental

42 U.S.C. § 1395nn(e)(1)(A) and

42 C.F.R. § 411.357(a)

Equipment Rental

42 U.S.C. § 1395nn(e)(1)(B) and

42 C.F.R. § 411.357(b)

Personal Services and Management Contracts

42 U.S.C. § 1395nn(e)(3)(A) and

42 C.F.R. § 411.357(d)(1)

Isolated Transactions (including acquisitions of

physician practices)

42 U.S.C. § 1395nn(e)(6) and

42 C.F.R. § 411.357(f)

Physician Recruitment Arrangements

42 U.S.C. § 1395nn(e)(5) and

42 C.F.R. § 411.357(e)

Employees

42 U.S.C. § 1395nn(e)(2) and

42 C.F.R. § 411.357(c)

Physician Services (provided in a group

practice setting)

42 U.S.C. § 1395nn(b)(1) and

42 C.F.R. § 411.355(a)

In-office Ancillary Services (provided in a

group practice setting)

42 U.S.C. § 1395nn(b)(2) and

42 C.F.R. § 411.355(b)

Physician Incentive Plans

42 U.S.C. § 1395nn(e)(3)(B) and

42 C.F.R. § 411.357(d)(2)

Prepaid Plans

42 U.S.C. § 1395nn(b)(3) and

42 C.F.R. § 411.355(c)

Risk Sharing Arrangements

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(n)

Implants in Ambulatory Surgical Centers

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.355(f)

Clinical Lab Services and Certain Drugs Furnished in Certain End Stage Renal Disease Facilities, Ambulatory Surgical Centers or Hospices

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.355(d) and (g)

Referral Services

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(q)

Subsidies for Obstetrical Malpractice

Insurance in Underserved Areas

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(r)

Hospitals Located in Puerto Rico

42 U.S.C. § 1395nn(d)(1) and

42 C.F.R. § 411.356(c)(2)

Rural Providers

42 U.S.C. § 1395nn(d)(2) and

42 C.F.R. § 411.356(c)(1)

Hospital Ownership

42 U.S.C. § 1395nn(d)(3) and

42 C.F.R. § 411.356(c)(3)

Remuneration Unrelated to Provision of

Designated Health Services

42 U.S.C. § 1395nn(e)(4)

Payments by Physician for Items and Services

42 U.S.C. § 1395nn(e)(8) and

42 C.F.R. § 411.357(i)

Group Practice Arrangements With Hospitals

In Effect Since 1989

42 U.S.C. § 1395nn(e)(7) and

42 C.F.R. § 411.357(h)

Academic Medical Centers

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.355(e)

Fair Market Value Compensation

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(l)

Non-Monetary Compensation Up to $300

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(k)

Medical Staff Incidental Benefits

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(m)

Compliance Training

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(o)

Indirect Compensation Arrangements

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(p)

Preventive Screening Tests, Immunizations and Vaccines

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.355(h)

Eyeglasses and Contact Lenses

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.355(i)

Inadvertent and Temporary Noncompliance

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.353(f)

Physician Retention Payments in Underserved Areas

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(t)

Professional Courtesy

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(s)

Charitable Donations by a Physician

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(j)

Intra-Family Rural Area Referrals

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.355(j)

Community-Wide Information Systems

42 U.S.C. § 1395nn(b)(4) and

42 C.F.R. § 411.357(u)


©2004 Scott C. Withrow. All rights reserved.