tci Medicare Compliance & Reimbursement - 2004 Issue 4

Self-Referral: ITS THAT TIME OF YEAR - feds DELAY SELF REFERRAL RULE, AGAIN

Effective date for controversial Stark provision now July 7, 2004. In keeping with its three year pattern, the Centers for Medicare & Medicaid Services has put a 6-month delay on the effective date of a provision in the Jan. 4, 2001 Stark rule, granting another welcome reprieve to teaching hospitals and medical centers. The controversy is over a single sentence in the Stark reg that deals with percentage compensation arrangements and the definition of "set in advance." Many of the exceptions to the Stark rule that apply to compensation arrangements can only be invoked if the amount of...

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