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Physician Self Referral - Centers For Medicare & Medicaid ...
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Frfm08aur3 FAQ
The federal physician self-referral law, normally known as the “Stark Act,” generally prohibits physicians and other healthcare professionals from referring their Medicare and Medicaid patients to facilities in which they or their immediate family members have an ownership or other investment interest.
Section 1877 of the Social Security Act (42 U.S.C. 1395nn) prohibits physicians from referring Medicare patients for certain designated health services (DHS) to an entity with which the physician or a member of the physician's immediate family has a financial relationship unless an exception applies. Current Law and Regulations - CMS cms.gov https://.cms.gov › medicare › physician-self-referral cms.gov https://.cms.gov › medicare › physician-self-referral
The following items and services are designated health services: Clinical laboratory services. Physical therapy services. Occupational therapy services. Outpatient speech-language pathology services. Radiology and certain other imaging services. Radiation therapy services and supplies.
Designated Health Services are specific healthcare services listed in the law, including clinical laboratory services, physical therapy, occupational therapy, radiology services, durable medical equipment, and others. Everything You Need To Know About Stark Law - MedTrainer medtrainer.com https://medtrainer.com › blog › everything-you-need-to-... medtrainer.com https://medtrainer.com › blog › everything-you-need-to-...
The Physician Self-Referral Law, also known as the “Stark Law,” generally prohibits a physician from sending a patient for many types of services to a provider that the physician owns, is employed by, or otherwise receives payment from—regardless of what that payment is for.
Federal physician self-referral prohibition (42 USC 1395nn.), commonly referred to as the Stark law, is a set of regulations that pertain to physician self-referral under current United States (US) federal law.
The Stark Law The Stark Law governs physicians (or their immediate family members) who have a financial relationship (i.e., an ownership investment interest or a compensation arrangement) with an entity and prohibits those individuals from making Medicare referrals to those entities for the furnishing of designated health services ( ... Stark Law - an overview | ScienceDirect Topics sciencedirect.com https://.sciencedirect.com › medicine-and-dentistry sciencedirect.com https://.sciencedirect.com › medicine-and-dentistry
Just as it is illegal for you to take money from providers and suppliers in return for the referral of your Medicare and Medicaid patients, it is illegal for you to pay others to refer their Medicare and Medicaid patients to you. Kickbacks in health care can lead to: Overutilization. Fraud & Abuse Laws | Office of Inspector General - HHS.gov hhs.gov https://oig.hhs.gov › compliance › physician-education hhs.gov https://oig.hhs.gov › compliance › physician-education
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