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DOJ continues to pursue health care fraud during COVID-19 pandemic

Nicole Jobe April Kirkley November 24, 2020

Despite the pandemic, the DOJ is continuing to investigate allegations of health care fraud. A recent settlement from Wheeling Hospital serves as a reminder to hospitals to review their physician compensation arrangements to ensure that they are within fair market value and considered commercially reasonable. READ MORE

HHS proposes significant changes to Stark, Anti-Kickback and CMP regulations

Milada Goturi October 11, 2019
Stethoscope and gavel

On October 9, 2019, the DHSS proposed significant amendments to the Stark Law, Anti-Kickback Law and Civil Monetary Penalty Law. These proposed amendments are intended to modernize and clarify these laws, encourage value-based arrangements and care coordination and reduce some of the key burdens these laws impose on health care providers. READ MORE

Comments due to CMS by September 27 on proposed changes to Stark Law advisory opinion process

April Kirkley September 5, 2019
A pyramid of blocks featuring health care icons

In August 2019, the Centers for Medicare & Medicaid Services released proposed changes to its Stark Law advisory opinion process. CMS intends for these proposed changes to reduce limitations and restrictions that may be unnecessarily serving as an obstacle to a more robust advisory opinion process. READ MORE

CMS provides more hints at future Stark Law modifications

March 25, 2019

After years of provider feedback, CMS has indicated significant changes to the Stark Law could arrive in 2019. The updated regulations will seek to spur care coordination in an era of increasing use of value-based payment models. READ MORE

CMS seeks public comment on potential Stark Law modifications

August 2, 2018
gavel and stethoscope

The broad scope of CMS’s recent Request for Information gives health care providers an opportunity to voice their concerns on a variety of Stark Law provisions, and may demonstrate an interest within the administration to modify the regulations implementing this statute. READ MORE

CMS mandates new Stark Self-Referral Disclosure Protocol form

Milada Goturi April 10, 2017
Health Law Checkup_default blog

The Centers for Medicare and Medicaid Services has issued new SRDP Forms for use by providers of services and supplies when disclosing actual or potential violations of the Stark Law under the SRDP. READ MORE

Record-breaking FCA settlements underscore importance of Stark Law compliance

November 3, 2015
Health Law Checkup_default blog

With the continued focus of the government on investigating and prosecuting matters involving compliance with the Stark Law, health care systems entering into compensation arrangements with referring physicians must have robust processes in place to ensure that the compensation arrangements – at the time that they are structured and during the course of the arrangement – don’t run afoul of the Stark Law. READ MORE