tci Medicare Compliance & Reimbursement - 2020 Issue Q2

Enforcement: Know These Stark and AKS Waiver Updates

Tip: Plan ahead for your post-COVID-19 compliance transition. During the best of times, many find keeping compliant with fraud and abuse regulations and all their nuances challenging. In the midst of the COVID-19 crisis, the feds have lifted some sanctions related to providers and self-referrals. Review These Temporary Stark Changes Section 1877 of the Social Security Act (SSA) concerns the Physician Self-Referral Law — or Stark for short — which prohibits physicians from referring Medicare patients to an entity that provides designated health services (DHS) if the physician or an immediate family member has a financial relationship with that...

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