2021 Offers New Opportunities Amid Healthcare Regulation Changes

March 10, 2021

Compliance Services

2021 Updates to the Stark Law, Anti-Kickback Statute, and Medicare Physician Fee Schedule

The transition from 2020 to 2021 brought with it several changes to the healthcare marketplace.New final rules for the Physician Self-Referral Law (Stark Law) and the Anti-Kickback Statute (AKS) have provided significant flexibility for the healthcare industry to develop new business models to care for patients.The 2021 Medicare Physician Fee Schedule (MPFS) saw the Centers for Medicare and Medicaid Services (CMS) finalize new coding provisions for outpatient evaluation and management codes while reducing the conversion factor used to calculate reimbursement paid under the MPFS.These changes provide a significant opportunity for industry participants while also introducing new complexity. Understanding these changes and how they will impact your organization is key to a successful future.The updates to the regulations include value-based changes, definitional changes to fair market value, and notable changes to the MPFS.Click the link below and download the article which outlines all the changes and consider the new opportunities the updated regulations will afford your organization.

2021 Offers New Opportunities Amid Healthcare Regulation Changes

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Contributors

Richard Romero, CVA, ABV, FHFMA, PAHM

Senior Vice President

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