By Serena Wellen, Vice President of Product Management at LexisNexis Legal and Professional May 22, 2025 A new article from Business Insider has brought yet another legal AI misstep into the spotlight...
By Serena Wellen, Vice President of Product Management at LexisNexis Legal and Professional May 21, 2025 LexisNexis® is proud to be leading the next wave of AI innovation in the legal industry...
By Serena Wellen, Vice President of Product Management at LexisNexis Legal and Professional May 15, 2025 In a legal industry increasingly shaped by AI, the rise of “AI hallucinations” —...
When Forrester Consulting released The Total Economic Impact™ of LexisNexis Lexis+ AI for Large Law Firms , the results were clear: legal AI delivers measurable value. Firms using Lexis+ AI saw a...
Large law firms are exploring the potential of generative and agentic AI to improve efficiency and enhance client service, while supporting long-term profitability. Executives at leading firms expect investment...
In November 2020, sweeping new regulations were enacted to implement the Physician Self-Referral Law, more commonly referred to as the Stark Law. Experts have reason to believe 2022 will bring even more developments.
In a podcast from the American Health Law Association (AHLA) Fraud and Abuse Practice Group, Matthew Wetzel (AHLA Member and Partner at Goodwin Procter) speaks to Charles B. Oppenheim (AHLA Member and Partner at Hooper Lundy) about recent developments in interpreting the Stark Law.
Oppenheim, co-author of the brand-new Seventh Edition of AHLA's The Stark Law: Comprehensive Analysis and Practical Guide, discusses new issues in the healthcare delivery system that remain unaddressed by the new Stark Law regulations, the challenges clients are facing related to COVID-19 waivers, and how clients are navigating the new value-based arrangement exception.
Listen to the full conversation here on Buzzsprout, or wherever you get your podcasts.
To go beyond the basics, check out the brand-new Seventh Edition of AHLA's The Stark Law: Comprehensive Analysis and Practical Guide. Get an exclusive look inside the book to explore the expanded table of contents and a sneak peek at the first chapter.
In short, the Stark Law prohibits physicians from referring patients to receive "designated health services,” or DHS, payable by Medicare or Medicaid from entities with which the physician or an immediate family member has a financial relationship (some exceptions apply).
Financial relationships include both ownership/investment interests and compensation arrangements. For example, if investing in an imaging center, the Stark Law requires the resulting financial relationship to fit within an exception or you may not refer patients to the facility and the entity may not bill for the referred imaging services.
Designated Health Services include a range of medical services, supplies, and prescription drugslisted under the Stark Law. Below is a list of such designated health services.
The Stark Law is a liability statute, which means proof of specific intent to violate the law is not required. The Stark Law also prohibits the submission, or causing the submission, of claims in violation of the law's restrictions on referrals. Penalties for physicians who violate the Stark Law include fines as well as exclusion from participation in the Federal health care programs.
For a more a more in-depth look at the Stark Law and recent developments check out the brand-new Seventh Edition of AHLA's The Stark Law: Comprehensive Analysis and Practical Guide.
* The views expressed in externally authored materials linked or published on this site do not necessarily reflect the views of LexisNexis Legal & Professional.