Stark Law Compliance: How to Avoid Violations?

The Stark Law, specifically targets physicians, prohibiting them from directing patients to receive "designated health services" (DHS) billable to Medicare or Medicaid if there exists a financial relationship between the physician (or their immediate family) and the service provider, unless an approved exception is met. 
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Risk Management in Business: Best Practices and Trends for 2025

Risk analysis encompasses techniques for gauging the likelihood and impact of potential hazards. By employing quantitative and qualitative approaches, risks can be accurately assessed and analyzed. Following the analysis, the next step is to rank the risks according to their threat level and probability of occurrence. This ensures that high-priority risks receive prompt attention and are allocated the appropriate resources, thereby mitigating their impact on the organization.
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Health Insurance Compliance: What are the Regulations and Solutions

Health insurance companies are regulated at both the state and federal levels to ensure consumer protection, fair pricing, and adherence to health standards. State departments of insurance are responsible for licensing and regulating insurance companies within their jurisdictions. They ensure that these companies comply with state-specific insurance laws and regulations, including financial solvency requirements, rate approvals, and policyholder protections.
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