Question

The law that limits certain physician referrals and prohibits physician referrals of designated health services for Medicare and Medicaid patients if the physician has a financial relationship with that entity is called:

A) Anti-Kickback Statute
B) HIPAA (Health Insurance Portability and Accountability Act)
C) Stark Law
D) Affordable Care Act (ACA)

Answer 1

The law that limits and prohibits certain physician referrals for Medicare and Medicaid patients when there's a financial relationship is called the Stark Law.

Step-by-step explanation:

Stark's Law, in healthcare, prohibits physicians from referring Medicare or Medicaid patients to entities with which they have a financial relationship.

Enacted to prevent conflicts of interest and ensure medical decisions are based on patient needs, it aims to maintain integrity in healthcare services and financial transactions.

This law aims to prevent conflicts of interest and ensure that the medical services provided to patients on Medicare and Medicaid are based on medical need rather than potential financial benefits to the physician.

The Stark Law is distinct from the Anti-Kickback Statute, which criminalizes the exchange of referrals for any items or services that are reimbursable by a federal health care program,

and from the Health Insurance Portability and Accountability Act (HIPAA), which sets the standards for the protection of patient information and privacy.