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Stark Law Aks Compliance

Draft Stark Law & AKS Compliance Plans in Minutes

14 minutes with CaseMark

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14 minutes with CaseMark

What you'll need

  • Organizational Documents
  • Physician Arrangement Inventory
  • Compliance History

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Workflow

Overview

CaseMark's Stark Law & AKS Compliance skill drafts comprehensive, defensible compliance plans tailored to your healthcare organization's specific arrangements and risk profile. The AI analyzes physician financial relationships, maps each to applicable Stark exceptions and AKS safe harbors, and produces a complete ten-section compliance plan with risk scoring and remediation guidance.

Drafting Stark Law and Anti-Kickback Statute compliance plans is one of the most complex tasks in healthcare regulatory law. Organizations must inventory every physician financial arrangement, map each to specific statutory exceptions and safe harbors, assess fair market value, and produce a defensible plan — a process that typically consumes weeks of attorney and compliance officer time and carries significant risk of gaps or oversights.

CaseMark automates the heavy lifting of Stark Law and AKS compliance plan drafting. By analyzing your organizational documents, physician arrangements, and compliance history, the AI produces a structured, risk-scored compliance plan with exception and safe harbor mapping, FMV analysis, and a pitfall checklist — giving your compliance team a comprehensive starting point that would otherwise take weeks to assemble.

How it works

  1. 1. Upload organizational documents, physician arrangements, and compliance history

  2. 2. AI analyzes arrangements against Stark Law exceptions and AKS safe harbors

  3. 3. Review the risk-scored compliance plan with mapped exceptions and recommendations

  4. 4. Export your defensible compliance plan in your preferred format (DOCX, PDF)

What you get

  • Scope & Authority Definition

  • Regulatory Framework Analysis

  • Arrangement Risk Matrix & Scoring

  • Stark Exception & AKS Safe Harbor Mapping

  • Compensation & FMV Compliance Assessment

  • DHS Category Service Line Mapping

  • Compliance Plan Sections I–X

  • Pitfall Checklist & Remediation Recommendations

What it handles

  • Comprehensive regulatory framework mapping for Stark Law and AKS requirements

  • Arrangement-level risk scoring with exception and safe harbor mapping

  • Physician financial arrangement inventory and analysis

  • FMV compensation benchmarking and compliance validation

  • Automated pitfall checklist and gap identification

  • Tailored compliance plan drafting across all ten required sections

Required documents

  • Organizational Documents

    Corporate structure charts, service line descriptions, and covered entity identification documents

    .pdf, .docx

  • Physician Arrangement Inventory

    Employment agreements, personal services agreements, medical directorships, leases, joint venture interests, and recruitment packages

    .pdf, .docx, .xlsx

  • Compliance History

    Prior audit findings, OIG/CMS correspondence, self-disclosure documentation, and corrective action plans

    .pdf, .docx

Supporting documents

  • Referral Data

    Referral volume data by physician, service type, and payer for risk analysis

    .pdf, .xlsx, .csv

  • Compensation & FMV Data

    Physician compensation schedules, FMV appraisals, and survey benchmark reports

    .pdf, .docx, .xlsx

  • Board Resolutions

    Board resolutions authorizing the compliance program and designating compliance officers

    .pdf, .docx

Why teams use it

Reduce compliance plan drafting time from weeks to minutes while maintaining thoroughness and defensibility

Identify high-risk physician arrangements with automated risk scoring and exception mapping across all DHS categories

Ensure comprehensive coverage of both Stark Law strict-liability requirements and AKS intent-based prohibitions in a single integrated plan

Generate audit-ready documentation with clear authority basis, arrangement inventories, and remediation timelines

Questions

What types of physician arrangements does this compliance plan cover?

CaseMark analyzes all physician financial arrangements including employment agreements, personal services agreements, medical directorships, space and equipment leases, joint venture interests, and recruitment packages. Each arrangement is scored for risk and mapped to applicable Stark exceptions and AKS safe harbors.

Does the plan address all designated health service (DHS) categories?

Yes. CaseMark maps your organization's actual service lines to all DHS categories under 42 U.S.C. § 1395nn, including clinical lab, physical therapy, radiology, imaging, radiation therapy, DME, home health, outpatient prescriptions, and inpatient/outpatient hospital services.

How does CaseMark handle fair market value (FMV) analysis?

CaseMark reviews your compensation data and FMV assessments against survey benchmarks to flag arrangements where physician compensation may exceed fair market value thresholds. The plan includes specific recommendations for remediation where FMV concerns are identified.

Can this tool replace outside healthcare regulatory counsel?

CaseMark is designed to accelerate and enhance the compliance drafting process, not replace legal counsel. The AI-generated compliance plan provides a comprehensive, defensible starting point that your healthcare attorneys can review, refine, and finalize significantly faster than drafting from scratch.

How current is the regulatory analysis?

CaseMark's analysis incorporates the Stark Law final rules, AKS safe harbor regulations, and OIG guidance. We recommend having your compliance team verify any recent regulatory changes and confirm the plan reflects the latest enforcement trends and advisory opinions.

What if our organization has prior OIG or CMS correspondence or self-disclosures?

CaseMark incorporates your compliance history, including prior audit findings, OIG/CMS correspondence, and self-disclosures, into the risk assessment. This ensures the compliance plan addresses known vulnerabilities and demonstrates a good-faith commitment to remediation.

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