Glaser David M
Fredrikson & Byron, P.A., 200 South Sixth Street #4000, Minneapolis, MN 55402, USA.
Orthop Clin North Am. 2008 Jan;39(1):89-102, vii. doi: 10.1016/j.ocl.2007.08.002.
The federal and state governments have imposed significant regulations on health care generally and on ancillary services in particular. This article focuses on how state and federal laws shape the ability of an orthopedic physician to offer ancillary services, whether as an individual, through a group practice, or as part of a joint venture. It focuses on how the Stark law, the Medicare anti-kickback statute, state anti-kickback, fee-splitting provisions, certificate of need laws, and various Medicare billing and supervision requirements impact the provision of ancillary services. It also briefly discusses how physicians should prepare for and respond to government investigations.
联邦政府和州政府普遍对医疗保健,尤其是对辅助服务实施了严格的监管。本文重点关注州法律和联邦法律如何影响骨科医生提供辅助服务的能力,无论是以个人身份、通过集体医疗执业还是作为合资企业的一部分。它重点关注《斯塔克法案》、医疗保险反回扣法规、州反回扣、费用分摊规定、需求证书法以及各种医疗保险计费和监督要求如何影响辅助服务的提供。它还简要讨论了医生应如何为政府调查做准备以及如何应对。