2019-10-17

Medicare Program; Modernizing and Clarifying the Physician Self-Referral Regulations – Proposed Rule (84 FR 55766)

• Definitions (Section 411.351)
• Arrangements that facilitate value-based health care delivery and payment (Section 411.357(aa))
• The Volume or Value Standard and the Other Business Generated Standard (Section 411.354(d)(5) and (6))
• Patient Choice and Directed Referrals (Section 411.354(d)(4))
• Group Practice (Section 411.352)
• Decoupling the Physician Self-Referral Law from the Federal Anti-Kickback Statute and Federal and State Laws or Regulations Governing Billing or Claims Submission
• Denial of Payment for Services Furnished under a Prohibited Referral—Period of Disallowance (Section 411.353(c)(1))
• Ownership or Investment Interests (Section 411.354(b))
• Special Rules on Compensation Arrangements (Section 411.354(e))
• Exceptions for Rental of Office Space and Rental of Equipment (Section 411.357(a) and (b))
• Exception for Physician Recruitment (Section 411.357(e))
• Exception for Remuneration Unrelated to the Provision of Designated Health Services (Section 411.357(g))
• Exception for Payments by a Physician (Section 411.357(i))
• Exception for Fair Market Value Compensation (Section 411.357(l))
• Electronic Health Records Items and Services (Section 411.357(w))
• Exception for Assistance to Compensate a Nonphysician Practitioner (Section 411.357(x))
• Updating and Eliminating an Out-of-Date Reference (Section 411.355(c))
• Limited Remuneration to a Physician (Section 411.357(z))
• Cybersecurity Technology and Related Services (Section 411.357(bb))