Saturday, December 3, 2022

physician arrangments

Eric Eisenberg

The Stark Laws specify the below does anyone know what this means?

Summary of the Supervision of Services Requirements
In order to qualify for the in-office ancillary services exception, the referring physician (or
another physician who is a member of the same group practice) must personally furnish the
services. If other individuals (e.g., technicians) perform the services, those individuals must be
directly supervised by the referring physician or another physician in the same group practice in
order for those services to qualify. Although the Stark Law uses the phrase “directly
supervised,” CMS has interpreted this to mean supervised to the extent otherwise required in the
Medicare program.

Does the below require the physician to be present during casting fitting and delivery of a prosthesis?

The referring physician must be present and order the designated health service in
connection with a patient visit during the time the office is open or the referring physician or
a group practice member is present while the “designated health service” is furnished during
the time the office is open, the referring physician or group practice has an office that is
normally open eight hours per week, and the referring physician or group member regularly
practices medicine and furnishes physician services to patients at least six hours per week in
that office (including “some” services that are unrelated to “designated health services”).

Eric S. Eisenberg M.S.;C.P.O.

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