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Self Referral law

  1. #1
    Default Self Referral law
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    Good Afternoon,
    I am wondering about the Medicare Self-Referral laws. I work in an OBGYN practice and we have our own sonogram & bone density machines and so our patients come into our office to have them done. Does that violate this law? Part of me think that this law refers more to kick-backs etc.. which would not be our case.
    One of our physicians was advised that what he is doing is illegal. It just doesn't sound right to me ..

    Any help is appreciated.

    Thanks!
    -Kathleen

  2. #2
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    Columbia, MO
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    It is not illeagal, you just need to document that the patient was given the option of having the test performed in other places such as a radiology center or hospital outpatient department, and they chose to have it performed in your office. We always have our patient's sign an acknowledgement where we list all other locations in the area and let them know it is at their discretion.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
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    Thanks Debra! Do you know if this can be signed annually or must it be done for each sonogram visit?

    Thanks again
    -Kathelln

  4. #4
    Location
    Columbia, MO
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    each visit.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
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    Quote Originally Posted by mitchellde View Post
    each visit.
    Hi Debra,

    Can you please provide link to the citation that indicates we need to notify patient of other options and also that signed acknowledgement is required each visit. I have no doubt it's true but my boss will demand proof.

    Thanks!
    Susan M. Garrett, CPC, COC
    Past President El Paso Texas Chapter AAPC
    Past Member AAPCCA Board of Directors
    cell 915-204-8333

  6. #6
    Location
    Columbia, MO
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    It is part of the Stark Law. The new amendment that was added a couple of years ago.

    Debra A. Mitchell, MSPH, CPC-H

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