tci E/M Coding Alert - 2016 Issue 11

Reader Question: Obey Stark Law to Stay Out of Medicare Crosshairs

Question: I overheard one of our nurse practitioners (NPs) say that someone at the practice might have violated the Stark Law. What is the Stark Law? Texas Subscriber Answer: This is a very big question. In basic terms, the Stark Laws are a set of three Medicare provisions that look to prevent physician self-referral, “or the practice of a physician referring a patient to a medical facility in which he has a financial interest, be it ownership, investment, or a structured compensation arrangement,” according to According to CMS, the Stark Law specifically: Prohibits a physician...

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