Executive Session: Making Sense of Stark and Practice Losses (Part 2)
Download MP3On December 2, 2020, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled, “Modernizing and Clarifying the Physician Self-Referral Regulations,” that makes a number of modifications to the regulations around the Physician Self-Referral "Stark" Law. MGMA's Government Affairs office has closely monitored the new rule and has published advocacy letters and statements describing how the new rule will affect MGMA members.
In this Part 2 of installment of Executive Session, Tim Smith, CPA, ABV, principal in TS Healthcare Consulting. a consulting firm that focuses on valuing healthcare organizations and providing guidance on related federal regulations, including Stark, outlines the changes and what he sees regarding the new to "identify, quantify and justify" practice losses through the new framework for commercial reasonableness and fair market value for physician compensation arrangements.
Part 1 can be found at www.mgma.com/starkpodcast.
Producer: Chris Harrop, senior editorial manager, MGMA
Intro/outro: "Street Walk," Paolo Pavan (CC BY-NC-SA 4.0).
On December 2, 2020, the Centers for Medicare and Medicaid Services (CMS) published a Final Rule titled, “Modernizing and Clarifying the Physician Self-Referral Regulations,” that makes a number of modifications to the regulations around the Physician Self-Referral "Stark" Law. MGMA's Government Affairs office has closely monitored the new rule and has published advocacy letters and statements describing how the new rule will affect MGMA members.
In this Part 2 of installment of Executive Session, Tim Smith, CPA, ABV, principal in TS Healthcare Consulting. a consulting firm that focuses on valuing healthcare organizations and providing guidance on related federal regulations, including Stark, outlines the changes and what he sees regarding the new to "identify, quantify and justify" practice losses through the new framework for commercial reasonableness and fair market value for physician compensation arrangements.
Part 1 can be found at www.mgma.com/starkpodcast.
Producer: Chris Harrop, senior editorial manager, MGMA
Intro/outro: "Street Walk," Paolo Pavan (CC BY-NC-SA 4.0).
This episode is sponsored by ModMed.
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Every denied claim costs time and money to rework — for care you’ve already delivered. While payers sharpen their own AI tools, ModMed RCM Services pairs seasoned billing specialists with AI designed to help flag claims at risk before they go out the door, so your team can fix issues upfront instead of appealing after the fact. Learn more here.
