Spotlight

CPI-U Update

The compensation limits for the nonmonetary compensation, medical staff incidental benefits, and limited remuneration to a physician exceptions have been updated for calendar year 2022 and are now available on the CPI-U Updates page.

List of CPT/HCPCS Codes

The 2022 Code List has been issued in the Federal Register. It can also be found at: 2022 Code List.

Final Rule: Modernizing and Clarifying the Physician Self-Referral Regulations

On November 20, 2020, CMS issued a final rule to modernize and clarify the regulations that interpret the Medicare physician self-referral law.  

To view the press release, please visit:  https://www.cms.gov/newsroom/press-releases/cms-announces-historic-changes-physician-self-referral-regulations   

To view the fact sheet, please visit:  https://www.cms.gov/newsroom/fact-sheets/modernizing-and-clarifying-physician-self-referral-regulations-final-rule-cms-1720-f  

CMS Issues Blanket Waivers of Sanctions under the Physician Self-Referral Law

On March 30, 2020, CMS issued blanket waivers of sanctions under the physician self-referral law for COVID-19 Purposes.  These blanket waivers provide vital flexibility for physicians and providers in the fight against COVID-19.  The waivers are effective March 1, 2020 and may be used without notifying CMS.  View the Blanket Waivers of Section 1877(g) (PDF)

NEW: On April 21, 2020, CMS issued explanatory guidance related to the scope and application of the blanket waivers to certain financial relationships. View the Explanatory Guidance (PDF).

Individual waivers of sanctions under section 1877(g) of the Act may be granted upon request.  Please send your request via email to 1877CallCenter@cms.hhs.gov and include the words “Request for 1877(g) Waiver” in the subject line.   All requests should include the following minimum information:

  • Name and address of requesting entity
  • Name, phone number and email address of person designated to represent the entity;
  • CMS Certification Number (CCN) or Taxpayer Identification Number (TIN) of the requesting entity; and
  • Nature of request.

Unless and until a waiver of sanctions under the physician self-referral law (that is, a waiver of section 1877(g) of the Social Security Act (the Act)) is granted to the requesting party(ies), such party(ies) must comply with section 1877 of the Act and the regulations at 42 C.F.R. § 411.350 et seq.

Page Last Modified:
12/02/2021 12:00 PM