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Spotlight

Request for Information

On June 20, 2018, CMS issued a request for information seeking public input on reducing the regulatory burdens of the Physician Self-referral Law. Comments will be accepted through August 24, 2018.

To view the press release, please visit: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2018-Press-releases-items/2018-06-20-2.html 

To view a blog by CMS Administrator Seema Verma, please visit: https://blog.cms.gov/2018/06/20/working-together-for-value/

Code List for Certain Designated Health Services (DHS)

The 2018 DHS Code List has been published in the Federal Register. It can also be found at: 2018 DHS Code List.

CPI-U Update

The compensation limits for the nonmonetary compensation and medical staff incidental benefits exceptions have been updated for calendar year 2018 and are now available on the CPI-U Updates page.

New FAQ Related to “Stand in the Shoes” and the SRDP Physician Information Form

A new FAQ describes the circumstances under which a disclosing party may submit a single Physician Information Form (with supporting documentation) to describe a compensation arrangement between a DHS entity and a physician organization that affects multiple physicians who stand in the shoes of that physician organization.  Please see the CMS Voluntary Self-Referral Disclosure Protocol FAQs on the Frequently Asked Questions page for details.

New FAQ Related to the DHS Code List and the ICD-9-CM to ICD-10-CM Conversion

A new FAQ provides clarification related to ICD-10-CM coding for those CPT/HCPCS codes on the DHS Code Lists for CYs 2015, 2016 and 2017 that are listed as eligible for the exception at 42 C.F.R. § 411.355(h) only when billed with certain ICD-9-CM codes. Please see the Physician Self-Referral Law FAQs on the Frequently Asked Questions page for details.

CMS Voluntary Self-Referral Disclosure Protocol (SRDP): New Form

CMS has issued a new SRDP Form that provides a streamlined and standardized format for disclosing actual or potential violations of the physician self-referral law. The SRDP Form will reduce the burden on providers and suppliers submitting disclosures to the SRDP and facilitate CMS’ review of the disclosures.  

Use of the form is mandatory effective June 1, 2017. Parties submitting self-disclosures to the SRDP are encouraged, but not required, to use the SRDP Form now. Visit the SRDP webpage to learn more about the SRDP.

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