STARK BASIC TRAINING - The American Health Lawyers Association
STARK BASIC TRAINING - The American Health Lawyers Association
STARK BASIC TRAINING - The American Health Lawyers Association
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GROUP PRACTICE CRITERIA<br />
• Share of profits will not be directly related to<br />
volume or value of referrals if one of the<br />
following conditions is met:<br />
• Profits divided per capita (i.e., equal share per<br />
physician in group);<br />
• DHS revenues are distributed in the same manner<br />
as non-DHS revenues from any federal health care<br />
program or private payor; or<br />
• DHS revenues for group practice is less than 5% of<br />
group practices’ total revenue and those revenues<br />
allocated to each physician in the group is 5% or<br />
less of each physician’s total compensation from the<br />
group<br />
65<br />
GROUP PRACTICE CRITERIA<br />
Permitted:<br />
Patient<br />
$<br />
GROUP PRACTICE<br />
DHS $ Pooled<br />
%of $<br />
%of $<br />
%of $<br />
DR.<br />
DR.<br />
DR.<br />
Distribution of Profit from DHS<br />
Should Reflect Pooling<br />
66<br />
33