Becker's Healthcare September 13, 2021
The Stark regulations governing pay methodology for ancillary services in group practices will change Jan. 1, prompting some organizations to rewrite their policies.
Shumaker, Loop & Kendrick outlined the updates in a report from JDSupra.
Five details:
1. CMS will require medical practices to set the methodology for calculating distribution from designated health services, or ancillary services, prospectively. The methodology for distributing profits from services like imaging and physical therapy should be locked in before groups earn income from those services.
2. Medical groups are not able to tie ancillary distributions directly to physicians ordering the service. Instead, groups can split profits “on a prorata basis or based on personal professional productivity...
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