tci Medicare Compliance & Reimbursement - 2003 Issue 17

Self-Referral: PROVIDERS GET BREATHING ROOM ON 'SET-IN-ADVANCE' RULE

Teaching hospitals and medical foundations bracing for a potential paperwork nightmare July 7 received a reprieve from the Centers for Medicare & Medicaid Services. CMS April 25 once again delayed the effective date of a controversial element of the Stark physician self-referral regulations - a single sentence in the Jan. 4, 2001 Stark rule that deals with percentage compensation arrangements and the definition of "set in advance." Many of the exceptions to the Stark rule that apply to compensation arrangements can only be invoked if the amount of compensation is set in advance. CMS is grappling with whether...

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