Skilled Nursing Facility

CMS updates the Medicare physician self-referral law

CMS issued a final rule that aims to modernize and clarify Medicare physician self-referral law, also called “Stark Law” On November 20.

Stark Law was first introduced in 1989, and has not been meaningfully updated since. The law aims to protect patients and nursing home residents from physicians pushing services that are in their own self interest (i.e. more convenient or higher cost services.)

The final rule requires that any payment a physician receives from another healthcare provider must be at fair market value, so that patients will not be over billed to benefit a physician.

The fact sheet is set to be published on December 2, but an unpublished version can be found on the Federal Register website.