Managers of ambulatory care centers should be understood legal issues that may affect the overall health of the organization. Unique to ambulatory care centers are Anti-Kickback Statute (AKS) and the Physician Self-Referral Law (Stark law). Both of the rules have to do with fraud and abuse. Anti-Kickback Statute [42 U.S.C. § 1320a-7b(b)] prohibits physicians from rewarding other entities for helping them gain business. Physician Self-Referral Law [42 U.S.C. § 1395nn] prohibits any arrangments not made in the best interest of the patients. For example, physicians cannot refer the patient to a place they own unless they have an excellent reason, and it is rare that there is one. If caught it can result in criminal penalties, civil fines, exclusion from the Federal health care programs, or loss of your medical license from your State medical board (Office of Inspector General, Department of Health and Human Services, n.d.).