tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Fraud & Abuse: See What’s in the Stark Law Revamp

Hint: Value-based care is the centerpiece of the proposal. If you’ve been on the edge of your proverbial seat since the feds issued an RFI on Stark, then you can sit back and relax. In a new proposed rule, CMS finally gives the law a “Patients Over Paperwork” makeover, offering physicians some long-awaited relief. Reminder: The Physician Self-Referral Law, more commonly referred to as the Stark Law, is a federal law that prohibits physicians from referring Medicare patients to an entity that provides designated health services (DHS) if the physician or an immediate family member has a...

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