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