tci Medicare Compliance & Reimbursement - 2012 Issue 4

Compliance: Find Out What the Stark 'Physician Self-Referral Law' Actually Covers

Need an exception? They only apply in specific scenarios. If anything in the healthcare industry keeps physicians on their toes, it's the Stark Law. This group of strict regulations that prohibit physician self-referrals has been through several thorough sets of updates, and even then, not all the loose ends have been tied up. For those that need a refresher: For Medicare cases (and potentially other payers on the state level), Stark prohibits physicians from making a referral to a "designated health service" (DHS) in which the physician or a direct family member of the physician has a financial relationship ...

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