Medicare program; physicians' referrals to health care entities with which they have financial relationships (Phase III). Final rule.
This final rule is the third phase (Phase III) of a final rulemaking amending our regulations regarding the physician self-referral prohibition in section 1877 of the Social Security Act (the Act). Specifically, this rule finalizes, and responds to public comments regarding, the Phase II interim final rule with comment period published on March 26, 2004, which set forth the self-referral prohibition and applicable definitions, interpreted various statutory exceptions to the prohibition, and created additional regulatory exceptions for arrangements that do not pose a risk of program or patient abuse (69 FR 16054). In general, in response to public comments, in this Phase III final rule, we have reduced the regulatory burden on the health care industry through the interpretation of statutory exceptions and modification of the exceptions that were created using the Secretary's discretionary authority under section 1877(b)(4) of the Act to promulgate exceptions for financial relationships that pose no risk of program or patient abuse.
D016265:Conflict of Interest / Q000331:legislation & jurisprudence*; D006123:Group Practice / Q000331:legislation & jurisprudence; D006801:Humans; D006278:Medicare / Q000941:ethics / Q000331:legislation & jurisprudence*; D010067:Ownership / Q000331:legislation & jurisprudence; D018584:Physician Self-Referral / Q000941:ethics / Q000331:legislation & jurisprudence*; D020414:Risk Sharing, Financial / Q000331:legislation & jurisprudence; D014481:United States