CMS isues final ‘Stark III’ rules

The Centers for Medicare and Medicaid Services (CMS) have issued final regulations prohibiting physicians from referring Medicare patients for certain items, services, and tests provided by businesses in which they or their immediate family members have a financial interest.

These final regulations are the third phase of implementing the physician self-referral prohibition commonly referred to as the Stark law. These “Phase III” regulations do not establish any new exceptions to the self-referral prohibition, but rather make certain refinements that could permit or, in some cases, require restructuring of some existing arrangements, according to CMS officials.

AAOS Now will include an analysis of the regulations in an upcoming issue, but following are highlights of the final regulations:

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