RBMA Bulletin, Volume 52, Issue 1

Authors: Paul W. Pitts Thomas W. Greeson

The purpose of the Stark Law is simple: to restrict self-referral. The application of the Stark Law is far more complex—and incomplete, such as the example of in-office imaging services that are largely free from the Stark Law’s reach.  Because the Stark Law restrictions apply to radiology, as well as radiation therapy services and supplies, radiology groups cannot escape the reach of these rules and, consequently, should be aware of these requirements.

This article will summarize the basic Stark rules impacting when a physician can make a referral of a Medicare or Medicaid patient for radiology services, both technical and professional components.  In addition, it will highlight some areas where radiology groups need to be mindful of Stark rule compliance.

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