decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 7 (July)
Prepare to follow new self-disclosure rules for MRI, CT and ultrasound
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Article Overview
This article explains new self-disclosure requirements affecting physician practices that provide or refer high-end imaging services. It focuses on the Medicare and Stark law compliance implications of the Affordable Care Act, practical patient-notice approaches, and the kinds of office procedures practices are considering to address the new disclosure obligation.
Why This Topic Matters
The topic is important because it affects how physician groups communicate imaging referral options to Medicare patients and how they manage compliance with federal self-disclosure and referral rules. Practices that own imaging equipment or refer patients for imaging need to understand the change and prepare appropriate written notices or office workflows.
Article Sections
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Overview of the new disclosure requirement
Introduces the new patient-notice obligation for certain imaging referrals and explains the general compliance concern for physician practices.
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Statutory basis and effective date
Summarizes the federal law provision discussed in the article and notes the timing of when it applies.
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Relationship to Stark law and in-office ancillary services
Explains how the article frames the disclosure change in relation to existing physician self-referral rules and ancillary service arrangements.
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Practical compliance approaches for practices
Describes broad office-process options being considered to meet the disclosure requirement, including written notices and patient-facing communication methods.
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Attorney guidance and next steps
Shares general commentary about anticipated guidance and the need for practices to prepare documentation and internal procedures.
What You Will Learn
- What general compliance change affects imaging referrals in physician practices
- How the article connects the issue to federal health reform and Stark law
- What kinds of office communication methods practices are considering
- Why orthopedic and other high-imaging practices should review their patient disclosure workflows
Who Should Read This
- Orthopedic practices
- Physician groups
- Medical practice administrators
- Compliance staff
- Healthcare attorneys
- Billing and coding professionals
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