tci Medicare Compliance & Reimbursement - 2008 Issue 3

Stark Law: Sharpen Your Self-Referral Law Knowledge

Expert tips help providers navigate part III of the Stark saga If anything in the health care industry keeps providers and their referring physicians on their toes, it’s the Stark Law. This set of strict regulations that prohibit physician self-referrals just saw its third major set of revisions and interpretations go into effect Dec. 4, 2007, and even then, not all the loose ends have been tied up. For Medicare cases (and potentially other payers on the state level), Stark prohibits physicians from making a referral to a "designated health service" (DHS) in which the physician or a...

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