The New Face of Physician Compliance Programs: Physicians Must Manage New Stark Law Risks under the Health Care Reform Act

By Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq.

September 2010–There are a number of provisions contained in the healthcare reform legislation that strongly urge healthcare providers/suppliers to take a proactive approach to compliance with the Federal Stark Law. All healthcare providers should begin implementing steps to revisit their existing compliance programs to ensure that areas of potential risks under Stark are evaluated, incorporated, and factored into such programs.

OIG Approves Proposed Free Pre-Authorization Services Arrangement

By Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq.

June 2010–Recently the OIG approved a program to provide free pre-authorization services to patients and referring physicians. The OIG’s position is likely to be received favorably by imaging providers trying to bridge the tension between advancing their business prospects in an increasingly competitive landscape, while abiding by the AKS.