tci Medicare Compliance & Reimbursement - 2007 Issue 35

COMPLIANCE: Brace Yourself For Legal Muddles If Stark Proposals Go Through

Comments on the rules are split between pro and conA controversial plan to slash your deals with hospitals and other doctors' offices could become a reality in January. The Centers for Medicare & Medicaid Services wants to make sweeping changes to the Stark rules that govern your doctor's referrals to partly-owned entities. The rules would prevent your doctor from marking up the cost of purchased tests, receiving payments for equipment on a "per-click" basis, and sending patients to the doctors' own joint ventures. Many legal experts say these changes could decimate many arrangements that your doctors have set up...

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