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[COMPANY NAME]
Stark Law Compliance Checklist
Commercial Reasonableness Review of Physician Compensation Relationships
Name of the Agreement: |
_____________________________ |
Other Party(ies) to the Agreement:_ |
_____________________________ and ____________________________ |
Effective Date: |
_____________________________ |
Termination Date: | |
Other Contracts with this Party(ies): |
____________________________ |
Name of the Agreement(s):_____________________________ Party(ies) to the Agreement: _____________________________and _____________________________ Effective Date:_____________________________ Termination Date:___________________________ | |
Meets Commercial Reasonableness |
Yes or No |