Patient Self-Referral

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CMS Self-referral Disclosure Protocol: 2013 Update and Summary of Settlements

The CMS Self-referral Disclosure Protocol – Background - Under delegated authority, the Centers for Medicare and Medicaid Services (CMS) released its Self-Referral Disclosure Protocol (SRDP) on September 23, 2010, with...more

CMS Issues FAQs Regarding Self-Referral Disclosure Protocol

CMS has released its responses to eight frequently asked questions [PDF] regarding its Self-Referral Disclosure Protocol (SRDP). The questions fall into three categories, listed below, and respond to issues that are often...more

Cong. McDermott Letter to CMS Urges Revision to Self-Referral Disclosure Protocol

Representative Jim McDermott (D-Wash.), Ranking Member of the Ways and Means Subcommittee on Health, and the lead author of the provision in the Affordable Care Act establishing the CMS Self-Referral Disclosure Protocol...more

GAO Calls for Action to Address Rise in Self-Referrals of Anatomic Pathology Services

The U.S. Government Accountability Office (GAO) recently published the results of a study examining trends in the number of self-referred anatomic pathology services and the impact on Medicare spending. Anatomic pathology...more

Significant Proposed Changes for Federal Health Care Programs in President’s Fiscal Year 2014 Budget Plan

On April 10, 2013, President Obama released his budget proposal for fiscal year (FY) 2014 (the Budget). The President reiterated his long-standing goal of reducing the deficit by $4.3 trillion over 10 years and his...more

Stark Exception For ESRD Not Recognized In Florida

On January 10, 2013, the U.S. Court of Appeals for the Eleventh Circuit ruled in Fresenius Medical Care Holdings, Inc. v. Tucker, that an arrangement can violate Section 456.053 of the Florida Statutes, also known as...more

False Claims Act - Health System Settles Allegations Related To Payments To Physician Advisors

The U.S. Department of Justice (DOJ) recently issued a press release related to a settlement agreement between the U.S. Attorney's Office for the District of New Jersey, the state of New Jersey and the Cooper Health System...more

Eleventh Circuit Rules that Florida’s Patient Self-Referral Law Is Not Preempted by the Stark Law

On January 10, 2013, the Eleventh Circuit issued an opinion holding that Florida’s patient self-referral law is not preempted by the federal Stark law. The court also found that Florida’s law does not violate the Commerce or...more

Eleventh Circuit Upholds Florida’s “Patient Self-Referral Act of 1992? as Constitutional

On January 10, 2013, the United States Court of Appeals, Eleventh Circuit, issued a ruling upholding Floridas “Patient Self-Referral Act of 1992? (Fla. Stat. §456.05) as constitutional. The full text of the Courts ruling in...more

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