Is the physician referring Medicare or Medicaid patients for designated health services ?
The Stark law applies if a physician is referring Medicare beneficiaries or Medicaid recipients to an entity for the following 10 categories of designated health services, commonly referred to as “DHS”: a) clinical laboratory services; b) physical therapy, occupational therapy and speech-language pathology services; c) radiology and certain other imaging services (including ultrasound, MRI, CT and PET); d) radiation therapy services and supplies; e) durable medical equipment and supplies; f) parenteral and enteral nutrients, equipment and supplies; g) prosthetics, orthotics and prosthetic devices and supplies; h) home health services; i) outpatient prescription drugs payable by Medicare Part B; and j) inpatient and outpatient hospital services. 13 The Stark regulations provide definitions of each of the 10 categories of DHS, and the definitions should be reviewed carefully. Many of the definitions for DHS refer to a list of procedure codes published by the Centers for Medicare and Medi
Related Questions
- How are patients seeking help from the Universitys health clinics, including Campus Health Services, the Employee Occupational Health Clinic and UNC Hospitals, being evaluated and treated?
- The Centers for Medicare & Medicaid Services (CMS) Change Request from May 2, 2008 seems to state that only UB-04 claim form billers must include NDC information. Is that correct?
- How can I find a physician, hospital, or outpatient facility in a Baptist Health Services Group network?
