COMPLIANCE: CMS Proposes Self-Referral Ban For PET Scans, Nuclear Medicine

Article Overview

This compliance-focused article covers a CMS proposal discussed in the 2006 Physician Fee Schedule proposed rule that would expand the Stark self-referral framework to include additional imaging services. It is relevant to physicians, imaging providers, compliance teams, and billing professionals who need to understand how the proposed change could affect ownership interests, referrals, and Medicare billing relationships. The article also places the proposal in the context of existing designated health services and the policy rationale CMS gives for the change.