CMS adds physician owner waiver for Stark law

CMS added a Stark law waiver for physician owners of independent free-standing emergency departments that served Medicare patients during the COVID-19 pandemic, according to an article written by three attorneys from the firm McDermott, Will & Emery and published in Lexology on June 2. 

Advertisement

The waiver applies retroactively and is the first time CMS has modified its blanket Stark law waivers since 2020, according to the report. Independent, freestanding emergency departments will now receive similar protections to ASCs, which were also able to convert to hospitals during the pandemic. 

The waiver applies to referrals by a physician owner of a hospital that was an independent, freestanding emergency department that meets the following criteria:

  1. On March 1, 2020, the department was licensed as an IFED. 
  2. The hospital enrolled in Medicare as a hospital during the public health emergency. 
  3. The hospital did not increase the aggregate percentage of physician ownership. 
  4. The hospital meets Medicare participation conditions. 
  5. The hospital’s Medicare enrollment is consistent with the COVID-19 pandemic plan of its state. 

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

160 ambulatory leaders just ranked the EHR as the single system most overdue for AI reinvention

Tuesday, August 11
12:00 PM - 1:00 PM CDT

Presenter: Gautam Shah, MBA, FACHDM, NextGen Healthcare

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.