tci General Surgery Coding Alert - 2018 Issue 6

Reader Question: Beware Stark Self-Referral

Question: If a few surgeons from our practice were to open an outpatient clinic for colonoscopy, would they be subject to the Stark law, and if so, what does that mean? SuperCoder Subscriber Answer: For a specific answer regarding your situation, you would need to consult legal counsel, but the Physician Self-Referral (Stark) Law would probably come into play in such a situation. In general, the Stark law prohibits physicians from making referrals to certain designated health services (DHS) payable by Medicare to an entity with which he or she (or an immediate family member) has a financial relationship...

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