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Posts tagged with "Stark Law"

Arizona News

DOJ Files Complaint in Fraud Suit Against Arizona Chiropractor, Modern Vascular

On Tuesday, the U.S. Department of Justice filed a complaint in a lawsuit against the Arizona company Modern Vascular and its founder, chiropractor Yury Gampel. Gampel and Modern Vascular's labs are accused of violating federal laws including Stark Law, the Anti-Kickback Statute and the False Claims Act by paying illegal kickbacks to...
CMS Rules

CMS Makes Further Edits to Enable Allowances Under Stark Law

The Centers for Medicare & Medicaid Services (CMS) have recently taken steps to correct Stark Law, and released an advisory this week that applies to physician groups providing services through wholly owned subsidiary practices that are separately enrolled in Medicare. The federal physician self-referral law, popularly known...
CMS Rules

CMS Final Rule Updates Stark Law

Last Friday, the Centers for Medicare and Medicaid Services announced a final rule that makes changes to the Physician Self-Referral Law, or Stark Law, which prohibits doctors from referring patients to services or providers owned or employed by the referring physician. The law has caused issues for participants in value-based...
National News

CMS Extends Own Deadline on Stark and Anti-Kickback Laws

The Centers for Medicare and Medicaid Services granted itself more time to finalize a rule that would revise Stark Law, which prohibits self-referrals by physicians. In a note in the Federal Register, the agency said the rule would not come before the August 31, 2020 deadline and extended it through August 2021. In a statement to...
Arizona News

CMS Issues Temporary Stark Law Waivers in Coronavirus Response

The Centers for Medicare and Medicaid Services (CMS) is now issuing several blanket waivers of certain provisions of the Stark Law, retroactive to Mar. 1, 2020, to ensure sufficient care is available for Medicare and Medicaid beneficiaries. Stark Law prohibits physicians from referring patients for certain healthcare services...
Arizona News

HHS Releases Proposal to Change Anti-Kickback Laws

The Department of Health and Human Services (HHS) unveiled a proposal spearheaded by the Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG) on Oct. 9 to make changes to anti-kickback legislation and Stark Law in an effort to modernize. In a news release announcing the proposals, HHS...
National News

OIG Advisory Opinion Green Lights Incentive Payments to Medicaid Providers for EPSDT Services

The Office of the Inspector General's opined that when a Medicaid insurer provides financial incentives to network providers for increasing the number of Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, such incentives would not violate the Anti-Kickback Statute. In the proposed arrangement, network providers...
National News

Modernizing Stark Law in Pursuit of Value

Congress has shown a vested interest to start modernizing Stark Law to support the Medicare reimbursement transition to a value-based system. In a hearing last week, U.S. House of Representatives' Ways and Means Committee Subcommittee on Health expressed their dedication to making necessary changes to update the law that prohibits...
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