Posted on Monday, February 8, 2021

New Stark Law revisions recently became effective to help eliminate Medicare fraud, these changes established new exceptions for compensation agreements in the context of value-based payment models designed to coordinate care, improve quality and lower costs.

“The Physician Self‑Referral Law, commonly known as the Stark Law, forbids health care providers from billing Medicare for certain services referred by physicians with whom the entity has a financial relationship, unless that relationship satisfies one of the law’s statutory or regulatory exceptions. The law is often invoked in tandem with the Anti‑Kickback Statute, which prohibits offering or paying remuneration to induce the referral for services covered by Medicare, Medicaid and other federally-funded programs.”

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