Stark Law has several “designated health services” that patients cannot receive through the self referrals previously described in Stark Law #1. These “designated health services” include: clinical laboratory […]
Social Determinants of Health (SDOH)
Social determinants of health are the conditions of where someone is born, grows, travels around, lives, and ages. These are grouped into 5 domains: Economic stability, education, healthcare, […]
Stark Law #1
What is Stark Law? Stark Law, also known as the Physician Self-Referral Law, is where if a physician is related to another health care provider, they cannot recommend […]
OIG General Compliance Program Guidance (GCPG)
On November 6, 2023, the OIG released its New General Compliance Program Guidance (GCPG). The GCPG is intended to serve as a voluntary reference guide for the health […]
CMS 4201 F
On April 5, 2023, CMS issued the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F), In April, CMS released Final Rule 4201-F with staggered effective dates from […]