tci Medicare Compliance & Reimbursement - 2005 Issue 34
PHYSICIANS: Physicians Should Prep For Applying Ultrasound Rules
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Article Overview
This article explains a possible CMS proposal involving the Stark self-referral law and its impact on physician arrangements for diagnostic imaging services. It is aimed at physicians, group practices, cardiology practices, and compliance-oriented readers who need a high-level understanding of how office-based imaging services may be affected. The discussion covers the in-office ancillary services exception, compensation structure concerns, and the possibility of grandfathering existing arrangements.
Why This Topic Matters
The topic matters because a change in federal self-referral policy could affect how physicians organize, perform, interpret, and compensate for imaging services within their practices. Readers in physician reimbursement, compliance, and practice management can use the article to gauge whether their current arrangements may need review if CMS finalizes the proposal.
What You Will Learn
- How CMS policy changes may affect physician self-referral compliance for imaging services
- What broad practice-structure issues can arise when office-based diagnostic services are subject to Stark rules
- Why compensation arrangements and in-office service delivery are central to the discussion
- Which specialties and practice settings may be most affected by the proposed change
Who Should Read This
- Physicians
- Group practice administrators
- Medical practice compliance staff
- Health care attorneys
- Cardiology practices
- Imaging service providers
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