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医疗保险和州医疗保健计划:欺诈与滥用;反回扣法规下某些电子处方和电子健康记录安排的安全港。最终规则。

Medicare and state health care programs: fraud and abuse; safe harbors for certain electronic prescribing and electronic health records arrangements under the anti-kickback statute. Final rule.

出版信息

Fed Regist. 2006 Aug 8;71(152):45109-37.

PMID:16897902
Abstract

As required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Public Law 108-173, this final rule establishes a new safe harbor under the Federal anti-kickback statute for certain arrangements involving the provision of electronic prescribing technology. Specifically, the safe harbor would protect certain arrangements involving hospitals, group practices, and prescription drug plan (PDP) sponsors and Medicare Advantage (MA) organizations that provide to specified recipients certain nonmonetary remuneration in the form of hardware, software, or information technology and training services necessary and used solely to receive and transmit electronic prescription information. In addition, in accordance with section 1128B(b)(3)(E) of the Social Security Act (the Act), this final rule creates a separate new safe harbor for certain arrangements involving the provision of nonmonetary remuneration in the form of electronic health records software or information technology and training services necessary and used predominantly to create, maintain, transmit, or receive electronic health records.

摘要

根据2003年《医疗保险处方药、改进与现代化法案》(MMA)(公法108 - 173)的要求,本最终规则依据联邦反回扣法规为某些涉及提供电子处方技术的安排设立了一个新的安全港。具体而言,该安全港将保护某些涉及医院、团体医疗实践以及处方药计划(PDP)主办方和医疗保险优势(MA)组织的安排,这些机构以硬件、软件或信息技术及培训服务的形式向特定接收方提供某些非货币报酬,这些报酬是接收和传输电子处方信息所必需且仅用于此目的。此外,根据《社会保障法》(该法案)第1128B(b)(3)(E)节,本最终规则为某些涉及以电子健康记录软件或信息技术及培训服务的形式提供非货币报酬的安排设立了一个单独的新安全港,这些报酬主要用于创建、维护、传输或接收电子健康记录。

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