Stark Law: Federal law that prohibits physicians from referring Medicare/Medicaid patients to entities with which they (or immediate family members) 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 - Federal law governing patient privacy, security of health information, and data breach notifications
False Claims Act: Federal law imposing liability on persons/companies who defraud governmental programs, including Medicare/Medicaid
Civil Monetary Penalties Law: Authorizes the imposition of substantial civil money penalties against entities that engage in fraudulent activities related to healthcare
Fair Labor Standards Act: Federal law establishing standards for wage and hour requirements, including minimum wage and overtime provisions
IRS Independent Contractor Guidelines: Federal guidelines determining worker classification as employee vs. independent contractor for tax purposes
State Medical Practice Acts: State-specific laws governing the practice of medicine, licensing requirements, and scope of practice
Corporate Practice of Medicine: State-specific laws regulating the relationship between medical professionals and corporate entities
Joint Commission Standards: Healthcare facility accreditation requirements affecting medical director responsibilities and quality metrics
Medical Staff Bylaws: Institutional rules governing medical staff organization, responsibilities, and relationships with the facility
Fair Market Value Requirements: Regulations requiring compensation to be consistent with fair market value to avoid fraud and abuse violations
Commercial Reasonableness Standards: Requirements ensuring that the agreement and compensation make business sense without considering referrals
Medicare/Medicaid Regulations: Federal regulations governing participation in government healthcare programs and compliance requirements
State Privacy Laws: State-specific requirements for protecting patient privacy and healthcare information, often more stringent than HIPAA
