Outpatient Facility Coding Alert - 2020 Issue 11
Fraud & Abuse: Don’t Bank on the Stark Revamp Until 2021
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Article Overview
This article explains the status of pending federal fraud-and-abuse guidance affecting physician self-referral and related anti-kickback policy during and after the COVID-19 public health emergency. It is intended for healthcare compliance, legal, and reimbursement audiences that need to monitor rulemaking timelines, waiver expiration, and transition planning under CMS and OIG guidance.
Why This Topic Matters
Providers and compliance teams need to understand when temporary pandemic flexibilities may end and how delayed final rules could affect financial relationships, referrals, and broader fraud-and-abuse risk management.
Article Sections
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Pocket This Stark Rundown and Timeline
Overview of the federal Stark Law rulemaking timeline and the status of pending CMS changes. Covers the broader regulatory context and the agencies involved.
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Plan Now for Post-COVID Compliance
Discussion of pandemic-era waiver guidance and the need to prepare for changes after the public health emergency. Addresses compliance planning considerations and related federal oversight.
What You Will Learn
- The current status of federal rulemaking affecting physician self-referral and related fraud-and-abuse policy
- How pandemic-era waiver guidance fits into broader compliance planning
- Which federal agencies are referenced in the article and why their actions matter
- Why providers are advised to prepare for transitions when temporary flexibilities end
Who Should Read This
- Healthcare compliance professionals
- Healthcare attorneys
- Revenue cycle and reimbursement professionals
- Physician practice administrators
- Hospital and health system compliance teams
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