decisionhealth Newsletters, Part B News - 2017 Issue 11 (November)
Alert staff to new set of designated health services to avoid Stark penalties
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Article Overview
This compliance-focused article explains changes to the Medicare designated health services list used in Stark physician self-referral monitoring. It is aimed at coding, compliance, and reimbursement staff who need to track which services were added or removed for the 2018 update cycle and understand the administrative significance of those changes. The article also notes related enforcement activity and points readers to the CMS source tables that support the update.
Why This Topic Matters
Organizations that refer Medicare patients must keep their designated health services inventory current to support Stark compliance and reduce audit or enforcement risk. This update helps teams identify which service categories changed for the 2018 Medicare physician fee schedule cycle.
Article Sections
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Compliance
Overview of the compliance context for Stark physician self-referral and the need to keep the designated health services list current.
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New codes, effective Jan. 1, 2018
Lists newly added service identifiers by broad designated health services category for the 2018 update.
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Deleted codes, effective Dec. 31, 2017
Lists service identifiers removed from the designated health services list, organized by category, for the end of 2017 update.
What You Will Learn
- How the designated health services list changed for the 2018 update cycle
- Which broad service categories were affected by additions and deletions
- Where the article directs readers to find the underlying CMS source tables
- How the update fits into Stark compliance monitoring
Who Should Read This
- Compliance officers
- Medical coders
- Billing staff
- Revenue cycle teams
- Physician practice administrators
Codes Discussed
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