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Samples in periodicals archive:
The Physician Self-Referral Statute, commonly called the Stark Law, prohibits a physician from making a referral to an entity for the furnishing of a designated health service for which payment may be made under Medicare or Medicaid if the physician or an immediate family member has a financial relationship with the entity, unless an exception applies.
The Stark law prohibits a physician from making a referral for certain designated health services (including clinical laboratory and anatomic-pathology services) for which payment may be made under the Medicare or Medicaid program if the physician (or an immediate family member) has a financial relationship with the entity that provides the designated health services.
Simply stated, the statute prohibits a physician from referring a Medicare beneficiary to an entity that provides a designated health service if the physician, or an immediate family member of the physician, has a compensation arrangement with, or an investment interest in, that entity unless an exception applies.
The CMS rule creates two new exceptions to the physician self-referral law, which prohibits a physician from referring Medicare patients for certain designated health services (DHS) to entities with which the physician has a financial relationship, unless an exception applies.
7) Stark limitations The Stark (physician self-referral) Law prohibits physicians from referring designated health services (DHS) to entities in which they have a financial interest.
The panel ultimately voted to include nuclear medicine and positron emission tomography procedures as designated health services under the Stark law.
Provision: Expands prior law to specify that an ownership or investment interest includes an interest in an entity that holds an ownership or investment interest in any entity providing the designated health service.
Stark Law prohibits self-referral by physicians to specific designated health services which the Centers for Medicare and Medicaid consider areas of high risk for abuse.