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Category Archives: Payer Rules

Changes to Stark May Require Tweaks to the Physician Compensation Formula

Legislative Action, Payer RulesBy NAMASJanuary 8, 2021

  January 8, 2021 | By David Glaser In early December, the Centers for Medicare and Medicaid Services (CMS) issued new rules that dramatically revise the Physician Self-Referral Law, commonly called the “Stark law” after Pete Stark, the Congressman credited with introducing it. While many of the changes loosen the law’s restrictions, focused particularly on…

Maintaining Medicare Enrollment: The Never-Ending High-Hurdles Race

Payer RulesBy NAMASFebruary 28, 2020

  February 28, 2020 | By Daniel F. Shay, Esq. Facing the mounting pressure of demographics, the Medicare system looks to slow the outflow of money however it can. One of the chief targets of these efforts is the process by which providers obtain Medicare billing privileges (“enrollment”). Without being enrolled in Medicare, a provider…

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