Fraud & Abuse: Don’t Expect the Stark Update Until 2021

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This compliance-focused article covers federal updates from CMS and HHS OIG related to Stark Law and Anti-Kickback Statute rulemaking, including delayed final rule timing and the status of COVID-19 blanket waivers. It is aimed at healthcare compliance, reimbursement, legal, and provider operations audiences that need to monitor fraud-and-abuse policy changes and prepare for post-public-health-emergency arrangements.

Why This Topic Matters

The topic affects how organizations structure financial relationships, manage waiver-based flexibility during the public health emergency, and prepare for future regulatory changes. Readers who oversee compliance or contracting need to know what federal agencies are signaling and why timing matters for operational planning.

Article Sections

  1. Here’s a Rundown of the Stark Revamp Change-Up

    Summarizes federal activity related to Stark Law revisions, including the status of proposed rulemaking and the broader compliance context. It also notes how the article frames the relationship between Stark, CMS, and related enforcement concerns.

  2. Plan Now for Post-COVID Compliance

    Discusses pandemic-era waiver policies and the importance of planning for operations after the public health emergency ends. The section also addresses broader fraud-and-abuse compliance considerations and federal agency messaging about temporary flexibilities.

What You Will Learn

  • The current status of federal Stark Law and Anti-Kickback Statute rulemaking
  • How pandemic-era waiver policies affect provider compliance planning
  • Why organizations may need to review financial arrangements before public health emergency flexibilities end
  • Which federal agencies are involved in the related fraud-and-abuse guidance

Who Should Read This

  • Healthcare compliance professionals
  • Medical practice administrators
  • Hospital and health system leaders
  • Healthcare attorneys
  • Revenue cycle and reimbursement staff
  • Physician practice managers

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