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Medicare/Medicaid Fraud & Abuse Resource Center

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    2020 Final Rules: Stark Law and Anti-Kickback Statute Regulations

    On November 20, 2020, the Centers for Medicare and Medicaid Services (CMS) issued long-awaited final rules to “modernize and clarify” the regulations that interpret the Medicare Physician Self-Referral Law (Stark Law), which has not been significantly updated since it was enacted in 1989. 

    On the same day, the Department of Health and Human Services Office of Inspector General (HHS-OIG) issued its final rule modifying existing safe harbors to the Federal Anti-Kickback Statute (AKS) and finalizing a new exception to the civil monetary penalty (CMP) law prohibiting inducements to beneficiaries. 

    Each final rule is lengthy. However, both CMS and OIG issued fact sheets along with their proposed rules to highlight the changes being proposed. Read more >>