Davis J P
Deloitte and Touche, LLP, Jericho, NY, USA.
Healthc Financ Manage. 1998 Apr;52(4):65-9.
HCFA's recently published proposed regulations for implementing Stark II legislation have significant implications regarding Medicare and Medicaid payments for physician referrals, and likely will be the most extensive governmental guidance available on the Stark laws. While final regulations will not be issued for some time, the availability of the guidance provided by these expanded definitions increases the risk that the government will increase its antifraud and abuse activities, particularly with respect to those aspects of the statutes that were previously unclear. Physicians and hospitals should become familiar with the new definitions of designated health services for which self-referrals are prohibited, particularly inpatient and outpatient hospital services, whose inclusion as designated health services significantly expands the scope of the Stark prohibitions to many common hospital/physician transactions. They also should begin to lay plans to ensure compliance with the new regulations and to map cut strategies for revising existing organizational structures and financial arrangements.
医疗保健财务管理局（HCFA）最近发布的关于实施《斯塔克法案II》的拟议法规，对医疗保险和医疗补助计划中医生转诊的支付有着重大影响，并且很可能会成为关于斯塔克法律最全面的政府指导文件。虽然最终法规在一段时间内不会发布，但这些扩展定义所提供的指导增加了政府加强反欺诈和滥用行为的风险，尤其是针对那些之前不明确的法规条款。医生和医院应熟悉禁止自我转诊的指定医疗服务的新定义，特别是住院和门诊医院服务，将其纳入指定医疗服务显著扩大了斯塔克禁令对许多常见医院/医生交易的适用范围。他们还应开始制定计划，以确保遵守新法规，并制定修订现有组织结构和财务安排的削减策略。
