E/M Coding Alert - 2020 Issue 6
Compliance: See the COVID-19 Impact on Stark
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Article Overview
This article explains how CMS blanket waivers affected Stark Law compliance during the COVID-19 public health emergency, with emphasis on temporary flexibilities tied to financial relationships and referrals. It is aimed at Part B providers, compliance staff, and healthcare attorneys who need a high-level understanding of the waiver categories, the CMS guidance that accompanied them, and the importance of preparing for post-pandemic contract and compliance adjustments.
Why This Topic Matters
Temporary waiver guidance can change how physician practices structure relationships during an emergency, and those arrangements may need to be revisited when the emergency ends. Understanding the scope and limits of the CMS waivers helps organizations reduce compliance risk and plan for a return to standard Stark Law requirements.
Article Sections
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Temporary Stark Law Changes
Overview of the COVID-19-era CMS blanket waivers and their relationship to the public health emergency. Includes the general scope, timing, and entities affected.
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Remuneration
Summarizes the waiver group focused on payment and repayment arrangements between physicians, family members, and entities. Covers the broad categories of financial relationship flexibility discussed by the article.
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Referrals
Summarizes the waiver group focused on referral-related exceptions and compensation arrangements. Notes the general areas of Stark exception relief addressed in the guidance.
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Bottom line
Discusses compliance takeaways for organizations using temporary flexibilities during the pandemic and the need to plan for transitions after the emergency period ends.
What You Will Learn
- How CMS temporary blanket waivers related to Stark Law during the COVID-19 public health emergency
- Which broad categories of financial relationships and referrals were addressed
- Why organizations needed to review compliance practices as the emergency period changed
- What types of post-emergency planning concerns the article highlights
Who Should Read This
- Physician practices
- Part B providers
- Healthcare compliance officers
- Healthcare attorneys
- Revenue cycle and compliance staff
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