tci Medicare Compliance & Reimbursement - 2004 Issue 26

STARK: Does Stark II Single Out Group Practices?

MGMA says Stark should be friendlier to physician recruitment. With Phase II of the Centers of Medicare and Medicaid Services' Stark II self-referral regulation poised to make landfall July 26, small group practices are worried about the impact on their business. In June 21 comments to CMS Administrator Mark McClellan, the Medical Group Management Association points to what it calls "unduly restrictive" language in the rule's physician recruitment exception. As it reads now, the physician recruitment exception allows hospitals to pay only the "actual additional incremental costs" physicians incur when recruiting. MGMA, which represents more than 11,500 organizations...

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