What is the civil monetary penalty for submitting an improper claim due to a prohibited referral under the Stark law?

The correct civil monetary penalty for submitting an improper claim due to a prohibited referral under the Stark law is up to $15,000 per service. This amount reflects the statutory limits imposed to discourage improper referrals and claims in healthcare, designed to prevent conflicts of interest and ensure the integrity of medical decision-making.

The Stark law, which aims to curb self-referral practices among healthcare providers, establishes that penalties have been set to hold providers accountable for submitting claims related to services that resulted from prohibited referrals. This specific monetary amount acts as a deterrent against the submission of claims that do not comply with the law, highlighting the importance of adherence to regulations in the healthcare landscape.

Understanding the significance of these penalties is crucial for compliance professionals, as they must ensure that their organizations are following guidelines to minimize the financial risks associated with violations.