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Can Value-Based Programs Work With Stark Law Limitations?
Like the federal health care program anti-kickback statute (AKS), the federal physician self-referral law (Stark Law) was designed for a different, largely fee-for-service world where the principal concern was physicians ...
United States
29 Jun 2018
New Billing Modifier Required For Services Furnished At Certain Off-Campus Provider-Based Departments On Or After January 1, 2017
Changes to Medicare billing and payment rules for services furnished at certain off-campus provider-based departments (PBDs) went into effect on January 1, 2017.
United States
16 Jan 2017
21st Century Cures Act To Provide Modest Relief From Site-Neutral Provider-Based Department Payment Policy
The 21st Century Cures Act (H.R. 34) was recently overwhelmingly approved by both houses of Congress and reportedly will be signed into law by President Obama on December 13...
United States
15 Dec 2016
CMS Issues IPPS Proposed Rule, Proposes To Permanently Remove -0.2 Percent Offset For Two Midnight Rule
On April 18, 2016, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2017 proposed rule updating the Inpatient Prospective Payment System (IPPS) and the Long Term Acute Care Hospital Prospective Payment System (LTCH PPS).
United States
22 Apr 2016
DC Circuit Calls Into Question Legality Of Stark Law Ban On Per-Click Equipment Leases
On June 12, 2015, the US Court of Appeals for the District of Columbia Circuit issued a lengthy decision calling into question the regulatory prohibition on per-click equipment leases under the federal physician self-referral law.
United States
18 Jun 2015
Stark Law Update: US Reaches Groundbreaking FCA Settlement With Hospital
A group of related corporate entities that collectively operate All Children's Hospital entered into a $7 million False Claims Act settlement with the U.S.
United States
30 Apr 2014
HHS OIG Issues Updated Provider Self-Disclosure Protocol
On April 17, 2013, the US Department of Health and Human Services, Office of Inspector General (HHS-OIG) released an updated provider self-disclosure protocol (SDP).
United States
23 Apr 2013
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