Lexology February 8, 2021
Mintz

In this final post of our blog series on the substantial changes to the regulations implementing the Anti-Kickback Statute (AKS) and the Physician Self-Referral Law (commonly known as the Stark Law), we cover change to (i) key Stark Law terminology, and (ii) the scope and application of the Stark Law exceptions. The Centers for Medicare & Medicaid Services (CMS) finalized new definitions for various key terms used in the Stark Law regulations as well as revisions to existing terms that are generally intended to provide more certainty and flexibility. This post discusses a few of the highlights, but the final regulations contain many others.

Changes to Fundamental Stark Law Terminology

Commercially Reasonable

The Stark Law regulations now define “commercially reasonable,”...

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Topics: CMS, Govt Agencies, HHS, OIG, Payment Models, Provider, Regulations, Value Based
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