tci Medicare Compliance & Reimbursement - 2020 Issue Q4

Compliance: CMS Delivers Surprise Stark Update for the Holidays

Final rule gifts providers with exceptions galore. Despite a raging pandemic, fraud and abuse have run rampant, increasing in some sectors of the industry, reports suggest. Though steadfast in their enforcement, the feds reeled back finalized policies on Stark in light of COVID-19 — only to fast-track a final rule in a shockingly quick turnaround. Read on for the details. Backtrack: In October 2019, the Centers for Medicare & Medicaid Services (CMS) proposed long-awaited updates to the Physician Self-Referral Law — Stark Law for short — modernizing many of the policies to address technology, value-based care, and compensation. The...

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