Stark II
Sheredos, Carol (NICHD)
Description
Collection
Title:
Stark II
Creator:
Sheredos, Carol (NICHD)
Date:
8/17/2001
Text:
In response to a question regarding the Stark II legislation, I can offer
the following:
Stark II Rules Will Require Practice Changes
By
Debra C. Cascardo
[Medscape Money & Medicine, 2001. © 2001 Medscape, Inc.]
While the rule prohibits self-referrals for many health services, it also
carves out important exceptions for medical groups.
Concerned about the potential for kickbacks paid to doctors for Medicare
referrals, Congress enacted in 1989 what's known as the Stark I law. Named
after sponsor Rep. Fortney Pete Stark, (D, Calif.), the measure was aimed
at prohibiting physicians from referring Medicare patients to clinical
laboratories or other entities in which they held a financial stake.
Its passage came in the wake of an onslaught of business activity in the
once-staid health care industry and, in particular, from studies that showed
that doctors who had an ownership interest in labs referred patients more
frequently than physicians who referred to independent laboratories.
By 1993, Stark I was expanded to include Medicaid services and 10 additional
designated health services, including physical and occupational therapy;
radiology services, including MRI, CT, and ultrasound; durable medical
equipment and supplies; home health services and several others. The
expanded law is known as Stark II. (For additional information, see
<URL Redacted>)
Carol A. Sheredos, PT, MA
Program Support Specialist/Policy Fellow
National Center for Medical Rehabilitation Research (NCMRR)
National Institute for Child Health and Human Development (NICHD)
National Institutes of Health (NIH)
6100 Executive Blvd. - Room 2A03
Rockville, MD 20852
Phone: (301) 435-6841
Fax: (301) 402-0832
the following:
Stark II Rules Will Require Practice Changes
By
Debra C. Cascardo
[Medscape Money & Medicine, 2001. © 2001 Medscape, Inc.]
While the rule prohibits self-referrals for many health services, it also
carves out important exceptions for medical groups.
Concerned about the potential for kickbacks paid to doctors for Medicare
referrals, Congress enacted in 1989 what's known as the Stark I law. Named
after sponsor Rep. Fortney Pete Stark, (D, Calif.), the measure was aimed
at prohibiting physicians from referring Medicare patients to clinical
laboratories or other entities in which they held a financial stake.
Its passage came in the wake of an onslaught of business activity in the
once-staid health care industry and, in particular, from studies that showed
that doctors who had an ownership interest in labs referred patients more
frequently than physicians who referred to independent laboratories.
By 1993, Stark I was expanded to include Medicaid services and 10 additional
designated health services, including physical and occupational therapy;
radiology services, including MRI, CT, and ultrasound; durable medical
equipment and supplies; home health services and several others. The
expanded law is known as Stark II. (For additional information, see
<URL Redacted>)
Carol A. Sheredos, PT, MA
Program Support Specialist/Policy Fellow
National Center for Medical Rehabilitation Research (NCMRR)
National Institute for Child Health and Human Development (NICHD)
National Institutes of Health (NIH)
6100 Executive Blvd. - Room 2A03
Rockville, MD 20852
Phone: (301) 435-6841
Fax: (301) 402-0832
Citation
Sheredos, Carol (NICHD), “Stark II,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/217190.
