tci Medicare Compliance & Reimbursement - 2005 Issue 29
PHYSICIANS: Docs Can Dole Out DMEPOS-With Personal Touch
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Article Overview
This article explains a Stark self-referral policy topic affecting physicians who furnish ancillary services and durable medical equipment, prosthetics, orthotics and supplies in office and satellite-office settings. It is aimed at physicians, compliance staff, and coding/billing professionals who need to understand the broad compliance implications of direct physician involvement, group practice structure, and where services are performed. The discussion focuses on general regulatory context and practical practice-structure considerations rather than a coding list.
Why This Topic Matters
The article helps readers assess whether physician-furnished services and DMEPOS arrangements may fit within office-based and group-practice exceptions under Stark-related guidance. That matters for practices trying to understand reimbursement and compliance risk when services are delivered in nontraditional settings.
What You Will Learn
- How Stark self-referral rules relate to physician-furnished ancillary services
- How DMEPOS delivery is discussed in office-based practice settings
- Why satellite office structure and physician involvement matter for compliance
- How group practice organization can affect whether a location is treated as part of the practice
Who Should Read This
- Physicians
- Medical practice administrators
- Compliance officers
- Medical coders
- Billing staff
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