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Stark/AKS

Stark/AKS

2021 Stark Exceptions

2021 Stark Law Exceptions: Stop Violations for Your Self-Referrals (Jan 19 Deadline)

Your referrals, value-based arrangements, and physician compensations can land you with huge penalties unless you meet all of the 2021 Stark Law requirements that went into effect January 19th, 2021 Make just one error, and you’ll be fined $25,000-$50,000 per violation – you can even be excluded from Medicare and Medicaid. CMS and OIG have […]
Billing Waivers

5 Steps Make Financial Waivers a Good, Not Risky Deed

QUESTION: We serve a large volume of underprivileged patients who can barely afford to eat. Our doctors often want to help them by waiving their deductibles and co-pays. Could we get in trouble for doing this “good deed”? Cookeville, TN Subscriber ANSWER: Waiving a patient’s co-pay, deductible, or co-insurance can put your practice at risk […]
Stark Law 2020 CMS Proposed New Rule

CMS New Rule: Stark Law Promotes Care Over Self-Referral

The 80’s are back, but it’s not fashion you should worry about. First enacted in 1989, the Stark Law is getting significant updates from CMS that benefit patient care, according to a proposed rule issued in October 2019. Comply with these new regulations that open the door to areas previously restricted as conflicts of interest. […]
CMS’ Audit List

Stay Off of CMS’ Audit List

The number of physician practices being audited each year continues to rise. As a result, more and more providers committing fraud, or just making mistakes, are being identified and required to pay massive penalties or have even been sentenced to jail time.   In many instances, the violation wasn’t intentional, but because they had no way […]