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CMS Finalizes Changes to Physician Self-Referral Regulations (Stark Law)

CMS Finalizes Changes to Physician Self-Referral Regulations (Stark Law)

On Friday, November 20, 2020, CMS released the “Medicare Program: Modernizing and Clarifying the Physician Self-Referral Regulations” final rule. This rule updates and clarifies regulations in the Physician Self-Referral Law (commonly called the Stark Law) that have caused concern for providers trying to move to a value-based reimbursement system, fearing that entering into these mutually beneficial arrangements where payment is tied to value violates the law. The rule finalizes many of the policies proposed in the October 2019 proposed rule, including:

        • New, permanent exceptions for value-based arrangements
        • Additional guidance on key requirements of the exceptions to the physician self-referral law
        • Protection for non-abusive, beneficial arrangements
        • Reduces administrative burden

For more information, access the fact sheet here.

And, access the final rule here.

Holly Hester

Holly Hester is Casamba’s Senior Vice President of Compliance & Education, as well as the Compliance Officer. She provides regulatory guidance and interpretation, clinical programming and content development, education and training steerage, and compliance support for the company. As a physical therapist for more than 20 years, Holly has multi-venue clinical and management experience, giving her a unique perspective on the integration of compliance and training with therapy service delivery and clinical practice.
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