Becker's Healthcare November 14, 2023
Patsy Newitt

HHS’ Office of Inspector General released its General Compliance Program Guidance on Nov. 6, providing an overview on Stark law and physician referrals.

Here’s what physicians and ASCs need to know:

1. Stark law prohibits physicians from making referrals for Medicare-payable health services to entities that the physician or an immediate family member has a financial relationship with, unless an exception applies. These financial relationships include ownership, investment interests and compensation relationships.

2. The designated health services include the following:

  • Clinical laboratory services
  • Physical therapy, occupational therapy and outpatient speech-language pathology services
  • Radiology and other imaging services
  • Radiation therapy services and supplies
  • Durable medical equipment and supplies
  • Parenteral and enteral nutrients, equipment and supplies
  • Prosthetics, orthotics and...

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Topics: Govt Agencies, OIG, Physician, Provider
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