decisionhealth Newsletters, Part B News - 2023 Issue 1 (January)
CMS adds 35 codes to the Stark list of designated health services
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Article Overview
This article explains CMS’s annual update to the Stark designated health services list and the change in how the update was published for 2023. It is written for compliance staff, billing and coding professionals, and physician practices that need to track referral-related coverage changes under the Physician Self-Referral law. The article also notes the public comment period, CMS’s response timeline, and the fact that selected remote therapeutic monitoring codes were discussed during comments without being changed.
Why This Topic Matters
Practices that refer or receive referrals for designated health services need to monitor CMS’s annual list updates to support Stark compliance planning and internal policy review. The article helps readers understand where the 2023 update was issued, how CMS is handling future updates, and what kinds of coding-related issues drew public comment.
Article Sections
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Compliance
Overview of the annual DHS update and its relevance to Stark compliance planning. It also covers the timing of the 2023 update and the change in how CMS publishes these updates.
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Comment period and CMS response timing
Discussion of the separate public comment process CMS created for Stark-related changes and the agency’s expected timing for responses. The section describes the general process and possible delays for more complex comments.
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Public comment on remote therapeutic monitoring codes
Summary of the single comment CMS received on the 2023 list and the subject matter it raised. The section notes that the codes remained unchanged and references the possibility of an advisory opinion request.
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Resources
Links and reference materials related to the annual code list, the regulatory docket, and Stark advisory opinions.
What You Will Learn
- How CMS handled the annual DHS code update for 2023
- Why the publication process for Stark-related updates changed
- How the public comment period fits into the annual update process
- What general coding topic drew comment during the 2023 update
- Where to find CMS and regulatory resources related to the Stark list
Who Should Read This
- Compliance officers
- Physician practice managers
- Medical coders
- Revenue cycle professionals
- Healthcare attorneys
- Audit and compliance teams
Codes Discussed
Code Ranges Discussed
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