The massive health care reform bill known as the Patient Protection and Affordable Care Act (PPACA) has been signed into law. It creates so many new legal and regulatory requirements that we could devote every column for the next several years to some aspect of the law and still not cover everything. So let us start with a summary of some of the fraud and abuse provisions, and in future columns we will cover other parts of the law that are of particular interest to readers.
Stark Law: The Stark Anti-Referral law prohibits referrals of Medicare or Medicaid patients for certain designated health services (DHS) if the referring physician or other practitioner has a financial relationship with the entity furnishing the DHS. One of the law’s few exceptions allows a physician to provide DHS in the physician’s office or as part of a physician group practice. PPACA now requires the physician to inform the patient in writing that the patient may obtain certain services from someone other than the physician or the group practice.
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