tci Part B Insider - 2005 Issue 29

COMPLIANCE: CMS Proposes Self-Referral Ban For PET Scans, Nuclear Medicine

You may need to bail out of joint venturesYou could have a much harder time performing PET scans and nuclear medicine tests if a new proposal goes through.The Centers for Medicare & Medicaid Services wants to make diagnostic nuclear medicine and PET scans Designated Health Services (DHS) under the Stark self-referral law, according to the 2006 Physician Fee Schedule proposed rule. Under the Stark law, physicians who examine patients can't provide DHS themselves, because that's considered DHS self-referral. Physicians will also be prohibited from sending patients to any facilities that they have an ownership interest in. Currently, DHS...

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