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Code List for Certain Designated Health Services (DHS)

The 2019 DHS Code List has been published in the Federal Register. It can also be found at: 2019 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 2019 and are now available on the CPI-U Updates page.

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/press-releases/cms-seeks-public-input-reducing-regulatory-burdens-stark-law 

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

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.

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