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HHS/CMS | RIN: 0938-AG80 | Publication ID: Fall 1996 |
Title: Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships--Expanded to Designated Health Services (BPD-809-P) | |
Abstract: This proposed rule would provide that a physician who has (or has a family member who has) a financial relationship with a health care entity may not make referrals to that entity for certain services (designated health services) under the Medicare program, except under specified circumstances. This proposed rule would also deny payment to a State for expenditures for designated health services furnished on the basis of a physician referral that, all things being equal, would result in denial of payment under Medicare. The provisions of the proposed rule are based on sections 13562 and 13624 of the OBRA '93, as amended by SSA '94. | |
Agency: Department of Health and Human Services(HHS) | Priority: Other Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: No | Unfunded Mandates: No |
CFR Citation: 42 CFR 411 | |
Legal Authority: 42 USC 1302 42 USC 1395hh 42 USC 1395nn |
Timetable:
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Additional Information: BPD-809 | |
Regulatory Flexibility Analysis Required: Yes | Government Levels Affected: State |
Small Entities Affected: Businesses | |
Included in the Regulatory Plan: No | |
Agency Contact: Joanne Sinsheimer Technical Advisor Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Medicare Management, Chronic Care Policy Group, C4-25-02, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-4620 |