Bloomberg Law
Oct. 24, 2019, 9:34 AM

Hospitals’ Risk May Rise as Anti-Fraud Proposal Narrows Loophole

Lydia Wheeler
Lydia Wheeler

Hospitals and other health-care providers largely got what they wanted from the Trump administration in a long-sought plan to revise the physician self-referral rule, but one change could see some pushback.

The Centers for Medicare & Medicaid Services wants to narrow an existing exception for isolated financial transactions that attorneys say has been a safety net to catch mistakes that would otherwise result in costly violations under the Stark Law.

Hospitals could find themselves having to repay Medicare and Medicaid for millions of dollars in claims all because they forgot to put a financial relationship with a physician in ...

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