tci Medicare Compliance & Reimbursement - 2005 Issue 22

Hospitals: Hot Specialty Hospital Issue Just Got Hotter

New bill would prohibit physician investor increases in 'grandfathered' specialty hospitals.Just weeks away from the end of the 18-month moratorium on specialty hospitals, new legislation and a signal from the Centers for Medicare and Medicaid Services has stirred up the physician self-referral ethical dispute.Critics of physician-owned specialty hospitals cheered Finance Committee Chairman Sen. Chuck Grassley's (R-IA) and ranking member Sen. Max Baucus' (D-MT) May 11 proposed legislation to stop physicians from referring Medicare and Medicaid patients to new specialty hospitals in which they have an ownership interest. AHA Against Hospitals 'Choosing' Patients Because physician owners tend to...

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