decisionhealth Newsletters, Part B News - 2020 Issue 1 (January)
Prepare for proposed Stark and anti-kickback rules by planning ahead
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Article Overview
This article explains how proposed CMS and OIG changes to Stark law and the anti-kickback statute may affect physician practices. It is aimed at compliance staff, practice administrators, and physicians who want to understand the broad categories of arrangements and documentation that could be impacted, including value-based care, care coordination, health IT, cybersecurity, patient support items, and contract review. The piece focuses on planning considerations while the rules remain proposed and public comments are still part of the process.
Why This Topic Matters
Physician practices may need to review existing relationships, contracts, and compliance processes in anticipation of final federal fraud-and-abuse rules. Understanding the scope of the proposed changes helps organizations prepare for operational, legal, and technology-related adjustments.
What You Will Learn
- What types of physician arrangements may be affected by proposed federal fraud-and-abuse changes
- Why value-based care readiness is part of compliance planning
- How health IT, cybersecurity, and patient-support arrangements are being discussed in the proposed rules
- What kinds of contracts and documentation should be reviewed while rules are still pending
Who Should Read This
- Physicians
- Practice administrators
- Compliance officers
- Healthcare attorneys
- Revenue cycle and operations teams
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