Stark Law (42 CFR 411)

Prohibits physician self-referrals for designated health services payable by Medicare or Medicaid, unless a specific exception applies. Applies to physicians and entities that furnish designated health services.

94

Rules extracted

1,871

Obligations decomposed

19.9x

Avg obligations per rule

🇺🇸 United States

Jurisdiction

What AuditDSS covers

Source

1

Regulation

Extracted

94

Rules

Decomposed

1,871

Obligations

19.9x

Decomposition ratio

Each rule is decomposed into an average of 19.9 atomic obligations — the smallest testable units that can be independently violated.

Fully extracted & scored

All 1,871 obligations have been decomposed, titled, risk-scored, and embedded for semantic matching.

Risk scoring

Every obligation in Stark Law is scored across independent risk dimensions:

W

Obligation Weight

How critical within the regulatory framework

L

Violation Likelihood

How often breached in practice

E

Enforcement Evidence

Regulator enforcement history and penalties

C

Cascade Dependency

How many obligations depend on this one

Regulatory details

Full title
Stark Law (42 CFR 411)
Regulatory body
Centers for Medicare & Medicaid Services
Jurisdiction
🇺🇸 United States
Document type
regulation
Effective date
January 1, 1992
Official source
View source document ↗

Who this applies to

physicianshospitalsclinical laboratoriesentities providing designated health services

Key requirements

  • physician self-referral prohibition
  • designated health services list
  • compensation arrangement exceptions
  • ownership exceptions
  • reporting requirements
  • refund obligations

Frequently asked questions about Stark Law

What is Stark Law?

Prohibits physician self-referrals for designated health services payable by Medicare or Medicaid, unless a specific exception applies. Applies to physicians and entities that furnish designated health services.

Who does Stark Law apply to?

Stark Law applies to physicians, hospitals, clinical laboratories, entities providing designated health services.

How many obligations does Stark Law contain?

AuditDSS has decomposed Stark Law into 1,871 atomic obligations from 94 rules. Each obligation is independently testable and risk-scored.

What are the key requirements of Stark Law?

The key requirements include: physician self-referral prohibition, designated health services list, compensation arrangement exceptions, ownership exceptions, reporting requirements, refund obligations.

How can I assess my Stark Law compliance?

Upload your compliance policy to AuditDSS. The platform maps your document against all 1,871 Stark Law obligations using deterministic AI scoring — not checklists or LLM summaries. You get a risk-scored gap analysis showing exactly which obligations are covered, partially covered, or missing.

Which jurisdiction enforces Stark Law?

Stark Law is enforced in United States by Centers for Medicare & Medicaid Services.

When did Stark Law come into effect?

Stark Law became effective on January 1, 1992.

What industry does Stark Law apply to?

Stark Law is primarily relevant to the Medical Devices & Diagnostics industry. AuditDSS covers 64 regulations in this industry sector.

Build a Stark Law compliance pack

Don't have a compliance policy yet? AuditDSS generates a complete compliance pack for Stark Law — alone or combined with other regulations your business needs. Every clause is mapped to specific obligations.

Policy

High-level commitments and governance framework covering Stark Law requirements.

Procedures

Step-by-step operational procedures to implement each policy commitment.

Forms & checklists

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Multi-regulation

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Already have a policy? Assess it against Stark Law

1

Upload your document

Upload your compliance policy, program manual, or operational document. AuditDSS accepts any text-based document.

2

AI maps against 1,871 obligations

Your document is scored against every obligation in Stark Law. Each claim is mapped to the obligation tree and evaluated for coverage.

3

Risk-scored gap report

Receive every gap ranked by risk priority with remediation guidance, enforcement evidence, and cascade impact analysis.

Related regulations in Medical Devices & Diagnostics

Assess your Stark Law compliance

Upload your document and get a risk-scored gap analysis against 1,871 Stark Law obligations in under 5 minutes.