October 10, 2019

CMS proposes to revise physician anti-kickback rules

By: Judy Mathias

Editor’s Note

The Centers for Medicare & Medicaid Services (CMS) on October 9 announced proposed changes to how it enforces the Physician Self-Referral Law (ie, Stark Law), which penalizes physicians and other healthcare providers for referring patients to outside services they could stand to benefit from financially.

The proposed rule will provide new permanent exceptions to the Stark Law for physicians and other healthcare providers participating in value-based arrangements and providing coordinated care for patients, and the exceptions will provide new flexibility for arrangements, such as donations of cybersecurity technology.

The proposals also would ease the compliance burden for physicians and other healthcare providers across the industry, while maintaining strong safeguards to protect patients and programs from fraud and abuse.

Comments on the proposed rule will be accepted until December 31, 2019.

Pre-Conference Workshop: Volume Versus Value: ASCs Transition to Value-Based Care
You may also be interested in this session at the OR Manager Conference

After this session you'll be able to: Discuss the elements of value-based care/value-based purchasing. Review techniques for how to engage physicians, your team, and your patients in the ASC. Explain…

Sign Up For OR a.m.
Sign up for the free OR a.m. eLetter to get news like this in your inbox every morning!

OR Manager Jobs
Live chat by BoldChat