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In the News Press Release

Outlook 2017: New Year May Bring Stark Reform, ACA Repeal, Heavy Dose of Uncertainty

Publisher: Bloomberg BNA's Health Care Fraud Report
January 4, 2017

Eric Fader's comments appeared in an article entitled "Outlook 2017: New Year May Bring Stark Reform, ACA Repeal, Heavy Dose of Uncertainty," published in Bloomberg BNA's Health Care Fraud Report. In the article, Fader discussed his views on the Stark Law self-referral disclosure protocol, currently in flux due to changes proposed by the Centers for Medicare & Medicaid Services (CMS). Fader told Bloomberg BNA that while the protocol got off to a great start in 2010, CMS soon fell behind in processing submissions and settlements, and the program ground to a halt in 2016. Fader told Bloomberg BNA that it should still make sense for providers to self-disclose Stark Law violations in 2017 because no matter what changes are ultimately put into effect, the protocol will still offer the possibility of lower repayment amounts. Similarly, most providers would benefit from self-disclosing potential Anti-Kickback Statute violations to the Department of Health and Human Services' Office of Inspector General under a separate program, Fader said. In both the CMS and OIG self-disclosure programs, technical violations can be settled at little cost, and self-disclosure may allow some providers to escape exclusion from the Medicare and Medicaid programs.


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