Sec. 411.350 Scope of subpart.
(a) This subpart implements section 1877 of the Act, which
generally prohibits a physician from making a referral under Medicare
for designated health services to an entity with which the physician or a member of
the physician's immediate family has a financial relationship.
(b) This subpart does not provide for exceptions or immunity from
civil or criminal prosecution or other sanctions applicable under any
State laws or under Federal law other than section 1877 of the Act. For
example, although a particular arrangement involving a physician's
financial relationship with an entity may not prohibit the physician
from making referrals to the entity under this subpart, the arrangement
may nevertheless violate another provision of the Act or other laws
administered by HHS, the Federal Trade Commission, the Securities and
Exchange Commission, the Internal Revenue Service, or any other Federal
or State agency.
(c) This subpart requires, with some exceptions, that certain
entities furnishing covered services under Medicare Part A or Part B
report information concerning ownership, investment, or compensation
arrangements in the form, in the manner, and at the times specified by
CMS.
As used in this subpart, unless the context indicates otherwise:
Centralized building means all or part of a building, including,
for purposes of this subpart only, a mobile vehicle, van, or trailer
that is owned or leased on a full-time basis (that is, 24 hours per
day, 7 days per week, for a term of not less than 6 months) by a group
practice and that is used exclusively by the group practice. Space in a
building or a mobile vehicle, van, or trailer that is shared by more
than one group practice, by a group practice and one or more solo
practitioners, or by a group practice and another provider or supplier
(for example, a diagnostic imaging facility) is not a centralized
building for purposes of this subpart. This provision does not preclude
a group practice from providing services to other providers or
suppliers (for example, purchased diagnostic tests) in the group
practice's centralized building. A group practice may have more than
one centralized building.
Clinical laboratory services means the biological, microbiological,
serological, chemical, immunohematological, hematological, biophysical,
cytological, pathological, or other examination of materials derived
from the human body for the purpose of providing information for the
diagnosis, prevention, or treatment of any disease or impairment of, or
the assessment of the health of, human beings, including procedures to
determine, measure, or otherwise describe the presence or absence of
various substances or organisms in the body, as specifically identified
by the List of CPT/HCPCS Codes. All services so identified on the List
of CPT/HCPCS Codes are clinical laboratory services for purposes of
this subpart. Any service not specifically identified as a clinical
laboratory service on the List of CPT/HCPCS Codes is not a clinical
laboratory service for purposes of this subpart.
Consultation means a professional service furnished to a patient by
a physician if the following conditions are satisfied:
(1) The physician's opinion or advice regarding evaluation and/or
management of a specific medical problem is requested by another
physician.
(2) The request and need for the consultation are documented in the
patient's medical record.
(3) After the consultation is provided, the physician prepares a
written report of his or her findings, which is provided to the
physician who requested the consultation.
(4) With respect to radiation therapy services provided by a
radiation oncologist, a course of radiation treatments over a period of
time will be considered to be pursuant to a consultation, provided the
radiation oncologist communicates with the referring physician on a
regular basis about the patient's course of treatment and progress.
Designated health services (DHS) means any of the following
services (other than those provided as emergency physician services
furnished outside of the U.S.), as they are defined in this section:
(1) Clinical laboratory services.
(2) Physical therapy, occupational therapy, and speech-language
pathology services.
(3) Radiology and certain other imaging services.
(4) Radiation therapy services and supplies.
(5) Durable medical equipment and supplies.
(6) Parenteral and enteral nutrients, equipment, and supplies.
(7) Prosthetics, orthotics, and prosthetic devices and supplies.
(8) Home health services.
(9) Outpatient prescription drugs.
(10) Inpatient and outpatient hospital services.
Except as otherwise noted in this subpart, the term "designated
health services" or DHS means only DHS payable, in whole or in part,
by Medicare. DHS do not include services that are reimbursed by
Medicare as part of a composite rate (for example, ambulatory surgical
center services or SNF Part A payments), except to the extent the
services listed in paragraphs (1) through (10) of this definition are
themselves payable through a composite rate (for example, all services
provided as home health services or inpatient and outpatient hospital
services are DHS).
Does not violate the anti-kickback statute, as used in this subpart
only, means that the particular arrangement--
(1) Meets a safe harbor under the anti-kickback statute in Sec.
1001.952 of this title, "Exceptions";
(2) Has been specifically approved by the OIG in a favorable
advisory opinion issued to a party to the particular arrangement (e.g.,
the entity furnishing DHS) with respect to the particular arrangement
(and not a similar arrangement), provided that the arrangement is
conducted in accordance with the facts certified by the requesting
party and the opinion is otherwise issued in accordance with part 1008
of this title, "Advisory Opinions by the OIG"; or
(3) Does not violate the anti-kickback provisions in section
1128B(b) of the Act.
A favorable advisory opinion for purposes of this definition means
an opinion in which the OIG opines that--
(1) The party's specific arrangement does not implicate the anti-
kickback statute, does not constitute prohibited remuneration, or fits
in a safe harbor under Sec. 1001.952 of this title; or
(2) The party will not be subject to any OIG sanctions arising
under the anti-kickback statute (for example, under sections 1128(a)(7)
and 1128a(b)(7) of the Act) in connection with the party's specific
arrangement.
Durable medical equipment (DME) and supplies has the meaning given
in section 1861(n) of the Act and Sec. 414.202 of this chapter.
Employee means any individual who, under the common law rules that
apply in determining the employer-employee relationship (as applied for
purposes of section 3121(d)(2) of the Internal Revenue Code of 1986),
is considered to be employed by, or an employee of, an entity.
(Application of these common law rules is discussed in 20 CFR 404.1007
and 26 CFR 31.3121(d)-1(c).)
(1) A physician's sole practice or a practice of multiple
physicians or any other person, sole proprietorship, public or private
agency or trust, corporation, partnership, limited liability company,
foundation, not-for-profit corporation, or unincorporated association
that furnishes DHS. An entity does not
include the referring physician himself or herself, but does include
his or her medical practice. A person or entity is considered to be
furnishing DHS if it-
(i) Is the person or entity to which CMS makes payment for the DHS,
directly or upon assignment on the patient's behalf; or
(ii) Is the person or entity to which the right to payment for the
DHS has been reassigned pursuant to Sec. 424.80(b)(1) (employer),
(b)(2) (facility), or (b)(3) (health care delivery system) of this
chapter (other than a health care delivery system that is a health plan
(as defined in Sec. 1001.952(l) of this title), and other than any
managed care organization (MCO), provider-sponsored organization (PSO),
or independent practice association (IPA) with which a health plan
contracts for services provided to plan enrollees).
(2) A health plan, MCO, PSO, or IPA that employs a supplier or
operates a facility that could accept reassignment from a supplier
pursuant to Sec. 424.80(b)(1) and (b)(2) of this chapter, with respect
to any designated health services provided by that supplier.
(3) For purposes of this subpart, "entity" does not include a
physician's practice when it bills Medicare for a diagnostic test in
accordance with Sec. 414.50 of this chapter (Physician billing for
purchased diagnostic tests) and section 3060.4 of the Medicare Carriers
Manual (Purchased diagnostic tests), as amended or replaced from time
to time.
Fair market value means the value in arm's-length transactions,
consistent with the general market value. "General market value"
means the price that an asset would bring as the result of bona fide
bargaining between well-informed buyers and sellers who are not
otherwise in a position to generate business for the other party, or
the compensation that would be included in a service agreement as the
result of bona fide bargaining between well-informed parties to the
agreement who are not otherwise in a position to generate business for
the other party, on the date of acquisition of the asset or at the time
of the service agreement. Usually, the fair market price is the price
at which bona fide sales have been consummated for assets of like type,
quality, and quantity in a particular market at the time of
acquisition, or the compensation that has been included in bona fide
service agreements with comparable terms at the time of the agreement,
where the price or compensation has not been determined in any manner
that takes into account the volume or value of anticipated or actual
referrals. With respect to rentals and leases described in Sec.
411.357(a), (b), and (l) (as to equipment leases only), "fair market
value" means the value of rental property for general commercial
purposes (not taking into account its intended use). In the case of a
lease of space, this value may not be adjusted to reflect the
additional value the prospective lessee or lessor would attribute to
the proximity or convenience to the lessor when the lessor is a
potential source of patient referrals to the lessee. For purposes of
this definition, a rental payment does not take into account intended
use if it takes into account costs incurred by the lessor in developing
or upgrading the property or maintaining the property or its
improvements.
An hourly payment for a physician's personal services (that is,
services performed by the physician personally and not by employees,
contractors, or others) shall be considered to be fair market value if
the hourly payment is established using either of the following two
methodologies:
(1) The hourly rate is less than or equal to the average hourly
rate for emergency room physician services in the relevant physician
market, provided there are at least three hospitals providing emergency
room services in the market.
(2) The hourly rate is determined by averaging the 50th percentile
national compensation level for physicians with the same physician
specialty (or, if the specialty is not identified in the survey, for
general practice) in at least four of the following surveys and
dividing by 2,000 hours. The surveys are:
Sullivan, Cotter & Associates, Inc.--Physician
Compensation and Productivity Survey
Hay Group--Physicians Compensation Survey
Hospital and Healthcare Compensation Services--
Physician Salary Survey Report
Medical Group Management Association--Physician
Compensation and Productivity Survey
ECS Watson Wyatt--Hospital and Health Care
Management Compensation Report
William M. Mercer--Integrated Health Networks
Compensation Survey
Home health services means the services described in section
1861(m) of the Act and part 409, subpart E of this chapter.
Hospital means any entity that qualifies as a "hospital" under
section 1861(e) of the Act, as a "psychiatric hospital" under section
1861(f) of the Act, or as a "critical access hospital" under section
1861(mm)(1) of the Act, and refers to any separate legally organized
operating entity plus any subsidiary, related entity, or other entities
that perform services for the hospital's patients and for which the
hospital bills. However, a "hospital" does not include entities that
perform services for hospital patients "under arrangements" with the
hospital.
HPSA means, for purposes of this subpart, an area designated as a
health professional shortage area under section 332(a)(1)(A) of the
Public Health Service Act for primary medical care professionals (in
accordance with the criteria specified in part 5 of this title).
Immediate family member or member of a physician's immediate family
means husband or wife; birth or adoptive parent, child, or sibling;
stepparent, stepchild, stepbrother, or stepsister; father-in-law,
mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-
in-law; grandparent or grandchild; and spouse of a grandparent or
grandchild.
"Incident to" services means those services that meet the
requirements of section 1861(s)(2)(A) of the Act, 42 CFR Sec. 410.26,
and section 2050 of the Medicare Carriers (CMS Pub. 14-3), Part 3--
Claims Process, as amended or replaced from time to time.
Inpatient hospital services means those services defined in section
1861(b) of the Act and Sec. 409.10(a) and (b) of this chapter and
include inpatient psychiatric hospital services listed in section
1861(c) of the Act and inpatient critical access hospital services, as
defined in section 1861(mm)(2) of the Act. "Inpatient hospital
services" do not include emergency inpatient services provided by a
hospital located outside of the U.S. and covered under the authority in
section 1814(f)(2) of the Act and part 424, subpart H of this chapter,
or emergency inpatient services provided by a nonparticipating hospital
within the U.S., as authorized by section 1814(d) of the Act and
described in part 424, subpart G of this chapter. "Inpatient hospital
services" also do not include dialysis furnished by a hospital that is
not certified to provide end-stage renal dialysis (ESRD) services under
subpart U of part 405 of this chapter. "Inpatient hospital services"
include services that are furnished either by the hospital directly or
under arrangements made by the hospital with others. "Inpatient
hospital services" do not include professional services performed by
physicians, physician assistants, nurse practitioners, clinical nurse
specialists, certified nurse midwives, and certified registered nurse
anesthetists and qualified psychologists if Medicare reimburses the
services independently and not as part of the
inpatient hospital service (even if they are billed by a hospital under
an assignment or reassignment).
Laboratory means an entity furnishing biological, microbiological,
serological, chemical, immunohematological, hematological, biophysical,
cytological, pathological, or other examination of materials derived
from the human body for the purpose of providing information for the
diagnosis, prevention, or treatment of any disease or impairment of, or
the assessment of the health of, human beings. These examinations also
include procedures to determine, measure, or otherwise describe the
presence or absence of various substances or organisms in the body.
Entities only collecting or preparing specimens (or both) or only
serving as a mailing service and not performing testing are not
considered laboratories.
List of CPT/HCPCS Codes means the list of CPT and HCPCS codes that
identifies those items and services that are designated health services
under section 1877 of the Act or that may qualify for certain
exceptions under section 1877 of the Act. It is updated annually, as
published in the Federal Register, and is posted on the CMS Web site at
http://cms.hhs.gov/medlearn/refphys.asp.
Locum tenens physician means a physician who substitutes (that is,
"stands in the shoes") in exigent circumstances for a physician, in
accordance with applicable reassignment rules and regulations,
including section 3060.7 of the Medicare Carriers Manual (CMS Pub. 14-
3), Part 3--Claims Process, as amended or replaced from time to time.
Member of the group or member of a group practice means, for
purposes of this subpart, a direct or indirect physician owner of a
group practice (including a physician whose interest is held by his or
her individual professional corporation or by another entity), a
physician employee of the group practice (including a physician
employed by his or her individual professional corporation that has an
equity interest in the group practice), a locum tenens physician (as
defined in this section), or an on-call physician while the physician
is providing on-call services for members of the group practice. A
physician is a member of the group during the time he or she furnishes
"patient care services" to the group as defined in this section. An
independent contractor or a leased employee is not a member of the
group (unless the leased employee meets the definition of an
"employee" under this Sec. 411.351).
Outpatient hospital services means the therapeutic, diagnostic, and
partial hospitalization services listed under sections 1861(s)(2)(B)
and (s)(2)(C) of the Act; outpatient services furnished by a
psychiatric hospital, as defined in section 1861(f) of the Act; and
outpatient critical access hospital services, as defined in section
1861(mm)(3) of the Act. "Outpatient hospital services" do not include
emergency services furnished by nonparticipating hospitals and covered
under the conditions described in section 1835(b) of the Act and
subpart G of part 424 of this chapter. "Outpatient hospital services"
include services that are furnished either by the hospital directly or
under arrangements made by the hospital with others. "Outpatient
hospital services" do not include professional services performed by
physicians, physician assistants, nurse practitioners, clinical nurse
specialists, certified nurse midwives, certified registered nurse
anesthetists, and qualified psychologists if Medicare reimburses the
services independently and not as part of the outpatient hospital
service (even if they are billed by a hospital under an assignment or
reassignment).
Outpatient prescription drugs means all prescription drugs covered
by Medicare Part B.
Parenteral and enteral nutrients, equipment, and supplies means the
following services (including all HCPCS level 2 codes for these
services):
(1) Parenteral nutrients, equipment, and supplies, meaning those
items and supplies needed to provide nutriment to a patient with
permanent, severe pathology of the alimentary tract that does not allow
absorption of sufficient nutrients to maintain strength commensurate
with the patient's general condition, as described in section 65-10 of
the Medicare Coverage Issues Manual (CMS Pub. 6), as amended or
replaced from time to time; and
(2) Enteral nutrients, equipment, and supplies, meaning items and
supplies needed to provide enteral nutrition to a patient with a
functioning gastrointestinal tract who, due to pathology to or
nonfunction of the structures that normally permit food to reach the
digestive tract, cannot maintain weight and strength commensurate with
his or her general condition, as described in section 65-10 of the
Medicare Coverage Issues Manual (CMS Pub. 6), as amended or replaced
from time to time.
Patient care services means any task(s) performed by a physician in
the group practice that address the medical needs of specific patients
or patients in general, regardless of whether they involve direct
patient encounters or generally benefit a particular practice. Patient
care services can include, for example, the services of physicians who
do not directly treat patients, such as time spent by a physician
consulting with other physicians or reviewing laboratory tests, or time
spent training staff members, arranging for equipment, or performing
administrative or management tasks.
Physical therapy, occupational therapy, and speech-language
pathology services means those particular services so identified on the
List of CPT/HCPCS Codes. All services so identified on the List of CPT/
HCPCS Codes are physical therapy, occupational therapy, and speech-
language pathology services for purposes of this subpart. Any service
not specifically identified as physical therapy, occupational therapy
or speech-language pathology on the List of CPT/HCPCS Codes is not a
physical therapy, occupational therapy, or speech-language pathology
service for purposes of this subpart. The list of codes identifying
physical therapy, occupational therapy, and speech-language pathology
services for purposes of this regulation includes the following:
(1) Physical therapy services, meaning those outpatient physical
therapy services (including speech-language pathology services)
described at section 1861(p) of the Act that are covered under Medicare
Part A or Part B, regardless of who provides them, if the services
include--
(i) Assessments, function tests and measurements of strength,
balance, endurance, range of motion, and activities of daily living;
(ii) Therapeutic exercises, massage, and use of physical medicine
modalities, assistive devices, and adaptive equipment;
(iii) Establishment of a maintenance therapy program for an
individual whose restoration potential has been reached; however,
maintenance therapy itself is not covered as part of these services; or
(iv) Speech-language pathology services that are for the diagnosis
and treatment of speech, language, and cognitive disorders that include
swallowing and other oral-motor dysfunctions.
(2) Occupational therapy services, meaning those services described
at section 1861(g) of the Act that are covered under Medicare Part A or
Part B, regardless of who provides them, if the services include--
(i) Teaching of compensatory techniques to permit an individual
with a physical or cognitive impairment or limitation to engage in daily
activities;
(ii) Evaluation of an individual's level of independent
functioning;
(iii) Selection and teaching of task-oriented therapeutic
activities to restore sensory-integrative function; or
(iv) Assessment of an individual's vocational potential, except
when the assessment is related solely to vocational rehabilitation.
Physician means a doctor of medicine or osteopathy, a doctor of
dental surgery or dental medicine, a doctor of podiatric medicine, a
doctor of optometry, or a chiropractor, as defined in section 1861(r)
of the Act.
Physician in the group practice means a member of the group
practice, as well as an independent contractor physician during the
time the independent contractor is furnishing patient care services (as
defined in this section) for the group practice under a contractual
arrangement with the group practice to provide services to the group
practice's patients in the group practice's facilities. The contract
must contain the same restrictions on compensation that apply to
members of the group practice under Sec. 411.352(g) (or the contract
must fit in the personal services exception in Sec. 411.357(d)), and
the independent contractor's arrangement with the group practice must
comply with the reassignment rules at Sec. 424.80(b)(3) of this
chapter (see also section 3060.3 of the Medicare Carriers Manual (CMS
Pub. 14-3), Part 3--Claims Process, as amended or replaced from time to
time). Referrals from an independent contractor who is a physician in
the group practice are subject to the prohibition on referrals in Sec.
411.353(a), and the group practice is subject to the limitation on
billing for those referrals in Sec. 411.353(b).
Physician incentive plan means any compensation arrangement between
an entity (or downstream subcontractor) and a physician or physician
group that may directly or indirectly have the effect of reducing or
limiting services furnished with respect to individuals enrolled with
the entity.
Plan of care means the establishment by a physician of a course of
diagnosis or treatment (or both) for a particular patient, including
the ordering of services.
Professional courtesy means the provision of free or discounted
health care items or services to a physician or his or her immediate
family members or office staff.
Prosthetics, Orthotics, and Prosthetic Devices and Supplies means
the following services (including all HCPCS level 2 codes for these
items and services that are covered by Medicare):
(1) Orthotics, meaning leg, arm, back, and neck braces, as listed
in section 1861(s)(9) of the Act.
(2) Prosthetics, meaning artificial legs, arms, and eyes, as
described in section 1861(s)(9) of the Act.
(3) Prosthetic devices, meaning devices (other than a dental
device) listed in section 1861(s)(8) of the Act that replace all or
part of an internal body organ, including colostomy bags, and one pair
of conventional eyeglasses or contact lenses furnished subsequent to
each cataract surgery with insertion of an intraocular lens.
(4) Prosthetic supplies, meaning supplies that are necessary for
the effective use of a prosthetic device (including supplies directly
related to colostomy care).
Radiation therapy services and supplies means those particular
services and supplies so identified on the List of CPT/HCPCS Codes. All
services and supplies so identified on the List of CPT/HCPCS Codes are
radiation therapy services and supplies for purposes of this subpart.
Any service or supply not specifically identified as radiation therapy
services or supplies on the List of CPT/HCPCS Codes is not a radiation
therapy service or supply for purposes of this subpart. The list of
codes identifying radiation therapy services and supplies is based on
section 1861(s)(4) of the Act and Sec. 410.35 of this chapter, but
does not include nuclear medicine procedures.
Radiology and certain other imaging services means those particular
services so identified on the List of CPT/HCPCS Codes. All services so
identified on the List of CPT/HCPCS Codes are radiology and certain
other imaging services for purposes of this subpart. Any service not
specifically identified as radiology and certain other imaging services
on the List of CPT/HCPCS Codes, is not a radiology or certain other
imaging service for purposes of this subpart. The list of codes
identifying radiology and certain other imaging services includes the
professional and technical components of any diagnostic test or
procedure using x-rays, ultrasound, or other imaging services,
computerized axial tomography, or magnetic resonance imaging, as
covered under section 1861(s)(3) of the Act and Sec. 410.32 and Sec.
410.34 of this chapter but does not include--
(1) X-ray , fluoroscopy, or ultrasound procedures that require the
insertion of a needle, catheter, tube, or probe through the skin or
into a body orifice;
(2) Radiology procedures that are integral to the performance of a
nonradiological medical procedure and performed--
(i) During the nonradiological medical procedure; or
(ii) Immediately following the nonradiological medical procedure
when necessary to confirm placement of an item placed during the
nonradiological medical procedure; and
(3) Diagnostic nuclear medicine procedures.
(1) Means either of the following:
(i) Except as provided in paragraph (2) of this definition, the
request by a physician for, or ordering of, or the certifying or
recertifying of the need for, any designated health service for which
payment may be made under Medicare Part B, including a request for a
consultation with another physician and any test or procedure ordered
by or to be performed by (or under the supervision of) that other
physician, but not including any designated health service personally
performed or provided by the referring physician. A designated health
service is not personally performed or provided by the referring
physician if it is performed or provided by any other person,
including, but not limited to, the referring physician's employees,
independent contractors, or group practice members.
(ii) Except as provided in paragraph (2) of this definition, a
request by a physician that includes the provision of any designated
health service for which payment may be made under Medicare, the
establishment of a plan of care by a physician that includes the
provision of such a designated health service, or the certifying or
recertifying of the need for such a designated health service, but not
including any designated health service personally performed or
provided by the referring physician. A designated health service is not
personally performed or provided by the referring physician if it is
performed or provided by any other person including, but not limited
to, the referring physician's employees, independent contractors, or
group practice members.
(2) Does not include a request by a pathologist for clinical
diagnostic laboratory tests and pathological examination services, by a
radiologist for diagnostic radiology services, and by a radiation
oncologist for radiation therapy, if--
(i) The request results from a consultation initiated by another
physician (whether the request for a consultation was made to a
particular physician or to an entity with which the physician is
affiliated); and
(ii) The tests or services are furnished by or under the
supervision of the pathologist, radiologist, or radiation oncologist,
or under the supervision of a pathologist, radiologist, or radiation
oncologist, respectively, in the same group practice as the
pathologist, radiologist, or radiation oncologist.
(3) Can be in any form, including, but not limited to, written,
oral, or electronic.
Referring physician means a physician who makes a referral as
defined in this section or who directs another person or entity to make
a referral or who controls referrals made by another person or entity.
A referring physician and the professional corporation of which he or
she is a sole owner are the same for purposes of this subpart.
Remuneration means any payment or other benefit made directly or
indirectly, overtly or covertly, in cash or in kind, except that the
following are not considered remuneration for purposes of this section:
(1) The forgiveness of amounts owed for inaccurate tests or
procedures, mistakenly performed tests or procedures, or the correction
of minor billing errors.
(2) The furnishing of items, devices, or supplies (not including
surgical items, devices, or supplies) that are used solely to collect,
transport, process, or store specimens for the entity furnishing the
items, devices, or supplies or are used solely to order or communicate
the results of tests or procedures for the entity.
(3) A payment made by an insurer or a self-insured plan (or a
subcontractor of the insurer or plan) to a physician to satisfy a
claim, submitted on a fee-for-service basis, for the furnishing of
health services by that physician to an individual who is covered by a
policy with the insurer or by the self-insured plan, if--
(i) The health services are not furnished, and the payment is not
made, under a contract or other arrangement between the insurer or the
plan (or a subcontractor of the insurer or plan) and the physician;
(ii) The payment is made to the physician on behalf of the covered
individual and would otherwise be made directly to the individual; and
(iii) The amount of the payment is set in advance, does not exceed
fair market value, and is not determined in a manner that takes into
account directly or indirectly the volume or value of any referrals.
Same building means a structure with, or combination of structures
that share, a single street address as assigned by the U.S. Postal
Service, excluding all exterior spaces (for example, lawns, courtyards,
driveways, parking lots) and interior loading docks or parking garages.
For purposes of this section, the "same building" does not include a
mobile vehicle, van, or trailer.
Specialty hospital means a subsection (d) hospital (as defined in
section 1886(d)(1)(B)) that is primarily or exclusively engaged in the
care and treatment of one of the following: Patients with a cardiac
condition; patients with an orthopedic condition; patients receiving a
surgical procedure; or any other specialized category of services that
the Secretary designates as inconsistent with the purpose of permitting
physician ownership and investment interests in a hospital. A
"specialty hospital" does not include any hospital--
(1) Determined by the Secretary to be in operation before or under
development as of November 18, 2003;
(2) For which the number of physician investors at any time on or
after such date is no greater than the number of such investors as of
such date;
(3) For which the type of categories described above is no
different at any time on or after such date than the type of such
categories as of such date;
(4) For which any increase in the number of beds occurs only in the
facilities on the main campus of the hospital and does not exceed 50
percent of the number of beds in the hospital as of November 18, 2003,
or 5 beds, whichever is greater; and
(5) that meets such other requirements as the Secretary may
specify.
Transaction means an instance or process of two or more persons or
entities doing business. An isolated transaction means one involving a
single payment between two or more persons or entities or a transaction
that involves integrally related installment payments provided that--
(1) The total aggregate payment is fixed before the first payment
is made and does not take into account, directly or indirectly, the
volume or value of referrals or other business generated by the
referring physician; and
(2) The payments are immediately negotiable or are guaranteed by a
third party, secured by a negotiable promissory note, or subject to a
similar mechanism to assure payment even in the event of default by the
purchaser or obligated party.
For purposes of this subpart, a group practice is a physician
practice that meets the following conditions:
(a) Single legal entity. The group practice must consist of a
single legal entity operating primarily for the purpose of being a
physician group practice in any organizational form recognized by the
State in which the group practice achieves its legal status, including,
but not limited to, a partnership, professional corporation, limited
liability company, foundation, not-for-profit corporation, faculty
practice plan, or similar association. The single legal entity may be
organized by any party or parties, including, but not limited to,
physicians, health care facilities, or other persons or entities
(including, but not limited to, physicians individually incorporated as
professional corporations). The single legal entity may be organized or
owned (in whole or in part) by another medical practice, provided that
the other medical practice is not an operating physician practice (and
regardless of whether the medical practice meets the conditions for a
group practice under this section). For purposes of this subpart, a
single legal entity does not include informal affiliations of
physicians formed substantially to share profits from referrals, or
separate group practices under common ownership or control through a
physician practice management company, hospital, health system, or
other entity or organization. A group practice that is otherwise a
single legal entity may itself own subsidiary entities. A group
practice operating in more than one State will be considered to be a
single legal entity notwithstanding that it is composed of multiple
legal entities, provided that--
(1) The States in which the group practice is operating are
contiguous (although each State need not be contiguous to every other
State);
(2) The legal entities are absolutely identical as to ownership,
governance, and operation; and
(3) Organization of the group practice into multiple entities is
necessary to comply with jurisdictional licensing laws of the States in
which the group practice operates.
(b) Physicians. The group practice must have at least two
physicians who are members of the group (whether employees or direct or
indirect owners), as defined in Sec. 411.351.
(c) Range of care. Each physician who is a member of the group, as
defined in Sec. 411.351, must furnish substantially the full range of
patient care services that the physician routinely furnishes, including
medical care, consultation, diagnosis, and treatment, through the joint
use of shared office space, facilities, equipment, and personnel.
(d) Services furnished by group practice members.
(1) Except as
otherwise provided in paragraphs (d)(3), (d)(4), (d)(5), and (d)(6) of
this section, substantially all of the patient care services of the
physicians who are members of the group (that is, at least 75 percent
of the total patient care services of the group practice members) must
be furnished through the group and billed under a billing number
assigned to the group, and the amounts received must be treated as
receipts of the group. "Patient care services" must be measured by
one of the following:
(i) The total time each member spends on patient care services
documented by any reasonable means (including, but not limited to, time
cards, appointment schedules, or personal diaries). (For example, if a
physician practices 40 hours a week and spends 30 hours a week on
patient care services for a group practice, the physician has spent 75
percent of his or her time providing patient care services for the
group.)
(ii) Any alternative measure that is reasonable, fixed in advance
of the performance of the services being measured, uniformly applied
over time, verifiable, and documented.
(2) The data used to calculate compliance with this "substantially
all test" and related supportive documentation must be made available
to the Secretary upon request.
(3) The "substantially all test" set forth in paragraph (d)(1) of
this section does not apply to any group practice that is located
solely in an HPSA, as defined in Sec. 411.351.
(4) For a group practice located outside of an HPSA (as defined in
Sec. 411.351), any time spent by a group practice member providing
services in an HPSA should not be used to calculate whether the group
practice has met the "substantially all test," regardless of whether
the member's time in the HPSA is spent in a group practice, clinic, or
office setting.
(5) During the "start up" period (not to exceed 12 months) that
begins on the date of the initial formation of a new group practice, a
group practice must make a reasonable, good faith effort to ensure that
the group practice complies with the "substantially all" test
requirement set forth in paragraph (d)(1) of this section as soon as
practicable, but no later than 12 months from the date of the initial
formation of the group practice. This paragraph (d)(5) does not apply
when an existing group practice admits a new member or reorganizes.
(6)
(i) If the addition to an existing group practice of a new
member who would be considered to have relocated his or her practice
under Sec. 411.457(e)(2) would result in the existing group practice
not meeting the "substantially all" test set forth in paragraph
(d)(1) of this section, the group practice will have 12 months
following the addition of the new member to come back into full
compliance, provided that--
(A) For the 12-month period the group practice is fully compliant
with the "substantially all" test if the new member is not counted as
a member of the group for purposes of Sec. 411.352; and
(B) The new member's employment with, or ownership interest in, the
group practice is documented in writing no later than the beginning of
his or her new employment, ownership, or investment.
(ii) This paragraph (d)(6) does not apply when an existing group
practice reorganizes or admits a new member who is not relocating his
or her practice.
(e) Distribution of expenses and income. The overhead expenses of,
and income from, the practice must be distributed according to methods
that are determined before the receipt of payment for the services
giving rise to the overhead expense or producing the income. Nothing in
this section prevents a group practice from adjusting its compensation
methodology prospectively, subject to restrictions on the distribution
of revenue from DHS under Sec. 411.352(i).
(f) Unified business.
(1) The group practice must be a unified
business having at least the following features:
(i) Centralized decision-making by a body representative of the
group practice that maintains effective control over the group's assets
and liabilities (including, but not limited to, budgets, compensation,
and salaries); and
(ii) Consolidated billing, accounting, and financial reporting.
(2) Location and specialty-based compensation practices are
permitted with respect to revenues derived from services that are not
DHS and may be permitted with respect to revenues derived from DHS
under Sec. 411.352(i).
(g) Volume or value of referrals. No physician who is a member of
the group practice directly or indirectly receives compensation based
on the volume or value of referrals by the physician, except as
provided in Sec. 411.352(i).
(h) Physician-patient encounters. Members of the group must
personally conduct no less than 75 percent of the physician-patient
encounters of the group practice.
(i) Special rule for productivity bonuses and profit shares.
(1) A
physician in a group practice may be paid a share of overall profits of
the group, or a productivity bonus based on services that he or she has
personally performed (including services "incident to" those
personally performed services as defined in Sec. 411.351), provided
that the share or bonus is not determined in any manner that is
directly related to the volume or value of referrals of DHS by the
physician.
(2) Overall profits means the group's entire profits derived from
DHS payable by Medicare or Medicaid or the profits derived from DHS
payable by Medicare or Medicaid of any component of the group practice
that consists of at least five physicians. Overall profits should be
divided in a reasonable and verifiable manner that is not directly
related to the volume or value of the physician's referrals of DHS. The
share of overall profits will be deemed not to relate directly to the
volume or value of referrals if one of the following conditions is met:
(i) The group's profits are divided per capita (for example, per
member of the group or per physician in the group).
(ii) Revenues derived from DHS are distributed based on the
distribution of the group practice's revenues attributed to services
that are not DHS payable by any Federal health care program or private
payer.
(iii) Revenues derived from DHS constitute less than 5 percent of
the group practice's total revenues, and the allocated portion of those
revenues to each physician in the group practice constitutes 5 percent
or less of his or her total compensation from the group.
(3) A productivity bonus should be calculated in a reasonable and
verifiable manner that is not directly related to the volume or value
of the physician's referrals of DHS. A productivity bonus will be
deemed not to relate directly to the volume or value of referrals of
DHS if one of the following conditions is met:
(i) The bonus is based on the physician's total patient encounters
or relative value units (RVUs). (The methodology for establishing RVUs
is set forth in Sec. 414.22 of this chapter.)
(ii) The bonus is based on the allocation of the physician's
compensation attributable to services that are not DHS payable by any
Federal health care program or private payer.
(iii) Revenues derived from DHS are less than 5 percent of the
group practice's total revenues, and the allocated portion of those
revenues to each physician in the group practice constitutes 5 percent
or less of his or her total compensation from the group practice.
(4) Supporting documentation verifying the method used to calculate
the profit share or productivity bonus under paragraphs (i)(2) and
(i)(3) of this section, and the resulting amount of
compensation, must be made available to the Secretary upon request.
Sec. 411.353 Prohibition on certain referrals by physicians and limitations on billing.
(a) Prohibition on referrals. Except as provided in this subpart, a
physician who has a direct or indirect financial relationship with an
entity, or who has an immediate family member who has a direct or
indirect financial relationship with the entity, may not make a
referral to that entity for the furnishing of DHS for which payment
otherwise may be made under Medicare. A physician's prohibited
financial relationship with an entity that furnishes DHS is not imputed
to his or her group practice or its members or its staff; however, a
referral made by a physician's group practice, its members, or its
staff may be imputed to the physician, if the physician directs the
group practice, its members, or its staff to make the referral or if
the physician controls referrals made by his or her group practice, its
members, or its staff.
(b) Limitations on billing. An entity that furnishes DHS pursuant
to a referral that is prohibited by paragraph (a) of this section may
not present or cause to be presented a claim or bill to the Medicare
program or to any individual, third party payer, or other entity for
the DHS performed pursuant to the prohibited referral.
(c) Denial of payment. Except as provided in paragraph (e) of this
section, no Medicare payment may be made for a designated health
service that is furnished pursuant to a prohibited referral.
(d) Refunds. An entity that collects payment for a designated
health service that was performed under a prohibited referral must
refund all collected amounts on a timely basis, as defined in Sec.
1003.101 of this title.
(e) Exception for certain entities. Payment may be made to an
entity that submits a claim for a designated health service if--
(1) The entity did not have actual knowledge of, and did not act in
reckless disregard or deliberate ignorance of, the identity of the
physician who made the referral of the designated health service to the
entity; and
(2) The claim otherwise complies with all applicable Federal and
State laws, rules, and regulations.
(f) Exception for certain arrangements involving temporary
noncompliance.
(1) Except as provided in paragraphs (f)(2), (f)(3), and
(f)(4) of this section, an entity may submit a claim or bill and
payment may be made to an entity that submits a claim or bill for a
designated health service if--
(i) The financial relationship between the entity and the referring
physician fully complied with an applicable exception under Sec.
411.355, Sec. 411.356, or Sec. 411.357 for at least 180 consecutive
calendar days immediately preceding the date on which the financial
relationship became noncompliant with the exception;
(ii) The financial relationship has fallen out of compliance with
the exception for reasons beyond the control of the entity, and the
entity promptly takes steps to rectify the noncompliance; and
(iii) The financial relationship does not violate the anti-kickback
statute (section 1128B(b) of the Act), and the claim or bill otherwise
complies with all applicable Federal and State laws, rules, and
regulations.
(2) Paragraph (f)(1) of this section applies only to DHS furnished
during the period of time it takes the entity to rectify the
noncompliance, which must not exceed 90 consecutive calendar days
following the date on which the financial relationship became
noncompliant with an exception.
(3) This paragraph (f) may only be used by an entity once every 3
years with respect to the same referring physician.
(4) This paragraph (f) does not apply if the exception with which
the financial relationship previously complied was Sec. 411.357(k) or
(m). Sec. 411.354 Financial relationship, compensation, and ownership or investment interest.
(1) Financial relationship means--
(i) A direct or indirect ownership or investment interest (as
defined in paragraph (b) of this section) in any entity that furnishes
DHS; or
(ii) A direct or indirect compensation arrangement (as defined in
paragraph (c) of this section) with an entity that furnishes DHS.
(2) A direct financial relationship exists if remuneration passes
between the referring physician (or a member of his or her immediate
family) and the entity furnishing DHS without any intervening persons
or entities. (3) An indirect financial relationship exists under the
conditions described in paragraphs (b)(5) and (c)(2) of this section.
(b) Ownership or investment interest. An ownership or investment
interest may be through equity, debt, or other means, and includes an
interest in an entity that holds an ownership or investment interest in
any entity that furnishes DHS.
(1) An ownership or investment interest includes, but is not
limited to, stock, stock options other than those described in Sec.
411.354(b)(3)(ii), partnership shares, limited liability company
memberships, as well as loans, bonds, or other financial instruments
that are secured with an entity's property or revenue or a portion of
that property or revenue.
(2) An ownership or investment interest in a subsidiary company is
neither an ownership or investment interest in the parent company, nor
in any other subsidiary of the parent, unless the subsidiary company
itself has an ownership or investment interest in the parent or such
other subsidiaries. It may, however, be part of an indirect financial
relationship.
(3) Ownership and investment interests do not include, among other
things--
(i) An interest in a retirement plan;
(ii) Stock options and convertible securities received as
compensation until the stock options are exercised or the convertible
securities are converted to equity (before this time the stock options
or convertible securities are compensation arrangements as defined in
paragraph (c) of this section);
(iii) An unsecured loan subordinated to a credit facility (which is
a compensation arrangement as defined in paragraph (c) of this
section); or
(iv) An "under arrangements" contract between a hospital and an
entity owned by one or more physicians (or a group of physicians)
providing DHS "under arrangements" with the hospital (such a contract
is a compensation arrangement as defined in paragraph (c) of this
section).
(4) An ownership or investment interest that meets an exception set
forth in Sec. 411.355 or Sec. 411.356 need not also meet an exception
for compensation arrangements set forth in Sec. 411.357 with respect
to profit distributions, dividends, or interest payments on secured
obligations.
(5) Indirect ownership or investment interest.
(i) An indirect
ownership or investment interest exists if--
(A) Between the referring physician (or immediate family member)
and the entity furnishing DHS there exists an unbroken chain of any
number (but no fewer than one) of persons or entities having ownership
or investment interests; and
(B) The entity furnishing DHS has actual knowledge of, or acts in
reckless disregard or deliberate ignorance of, the fact that the
referring physician (or immediate family member) has some ownership or
investment interest (through any number of intermediary
ownership or investment interests) in the entity furnishing the DHS.
(ii) An indirect ownership or investment interest exists even
though the entity furnishing DHS does not know, or act in reckless
disregard or deliberate ignorance of, the precise composition of the
unbroken chain or the specific terms of the ownership or investment
interests that form the links in the chain.
(iii) Notwithstanding anything in this paragraph (b)(5), common
ownership or investment in an entity does not, in and of itself,
establish an indirect ownership or investment interest by one common
owner or investor in another common owner or investor.
(iv) An indirect ownership or investment interest requires an
unbroken chain of ownership interests between the referring physician
and the entity furnishing DHS such that the referring physician has an
indirect ownership or investment interest in the entity furnishing DHS.
(c) Compensation arrangement. A compensation arrangement is any
arrangement involving remuneration, direct or indirect, between a
physician (or a member of a physician's immediate family) and an
entity. An "under arrangements" contract between a hospital and an
entity providing DHS "under arrangements" to the hospital creates a
compensation arrangement for purposes of these regulations.
(1) A compensation arrangement does not include the portion of any
business arrangement that consists solely of the remuneration described
in section 1877(h)(1)(C) of the Act and in paragraphs (1) through (3)
of the definition of the term "remuneration" in Sec. 411.351.
(However, any other portion of the arrangement may still constitute a
compensation arrangement.)
(2) Indirect compensation arrangement. An indirect compensation
arrangement exists if--
(i) Between the referring physician (or a member of his or her
immediate family) and the entity furnishing DHS there exists an
unbroken chain of any number (but not fewer than one) of persons or
entities that have financial relationships (as defined in paragraph (a)
of this section) between them (that is, each link in the chain has
either an ownership or investment interest or a compensation
arrangement with the preceding link);
(ii) The referring physician (or immediate family member) receives
aggregate compensation from the person or entity in the chain with
which the physician (or immediate family member) has a direct financial
relationship that varies with, or otherwise reflects, the volume or
value of referrals or other business generated by the referring
physician for the entity furnishing the DHS, regardless of whether the
individual unit of compensation satisfies the special rules on unit-
based compensation under Sec. 411.354(d)(2) or (d)(3). If the
financial relationship between the physician (or immediate family
member) and the person or entity in the chain with which the referring
physician (or immediate family member) has a direct financial
relationship is an ownership or investment interest, the determination
whether the aggregate compensation varies with, or otherwise reflects,
the volume or value of referrals or other business generated by the
referring physician for the entity furnishing the DHS will be measured
by the nonownership or noninvestment interest closest to the referring
physician (or immediate family member). (For example, if a referring
physician has an ownership interest in company A, which owns company B,
which has a compensation arrangement with company C, which has a
compensation arrangement with entity D that furnishes DHS, we would
look to the aggregate compensation between company B and company C for
purposes of this paragraph (c)(2)(ii)); and
(iii) The entity furnishing DHS has actual knowledge of, or acts in
reckless disregard or deliberate ignorance of, the fact that the
referring physician (or immediate family member) receives aggregate
compensation that varies with, or otherwise reflects, the volume or
value of referrals or other business generated by the referring
physician for the entity furnishing the DHS.
(d) Special rules on compensation. The following special rules
apply only to compensation under section 1877 of the Act and subpart J
of this part.
(1) Compensation will be considered "set in advance" if the
aggregate compensation, a time-based or per unit of service based
(whether per-use or per-service) amount, or a specific formula for
calculating the compensation is set in an agreement between the parties
before the furnishing of the items or services for which the
compensation is to be paid. The formula for determining the
compensation must be set forth in sufficient detail so that it can be
objectively verified, and the formula may not be changed or modified
during the course of the agreement in any manner that reflects the
volume or value of referrals or other business generated by the
referring physician.
(2) Unit-based compensation (including time-based or per unit of
service based compensation) will be deemed not to take into account
"the volume or value of referrals" if the compensation is fair market
value for services or items actually provided and does not vary during
the course of the compensation agreement in any manner that takes into
account referrals of DHS.
(3) Unit-based compensation (including time-based or per unit of
service based compensation) will be deemed to not take into account
"other business generated between the parties" so long as the
compensation is fair market value for items and services actually
provided and does not vary during the course of the compensation
arrangement in any manner that takes into account referrals or other
business generated by the referring physician, including private pay
health care business (except for services personally performed by the
referring physician, which will not be considered "other business
generated" by the referring physician).
(4) A physician's compensation from a bona fide employer or under a
managed care or other contract may be conditioned on the physician's
referrals to a particular provider, practitioner, or supplier, so long
as the compensation arrangement--
(i) Is set in advance for the term of the agreement;
(ii) Is consistent with fair market value for services performed
(that is, the payment does not take into account the volume or value of
anticipated or required referrals);
(iii) Otherwise complies with an applicable exception under Sec.
411.355 or Sec. 411.357;
(iv) Complies with the following conditions:
(A) The requirement to make referrals to a particular provider,
practitioner, or supplier is set forth in a written agreement signed by
the parties;
(B) The requirement to make referrals to a particular provider,
practitioner, or supplier does not apply if the patient expresses a
preference for a different provider, practitioner, or supplier; the
patient's insurer determines the provider, practitioner, or supplier;
or the referral is not in the patient's best medical interests in the
physician's judgment; and
(v) The required referrals relate solely to the physician's
services covered by the scope of the employment or the contract and the
referral requirement is reasonably necessary to effectuate the
legitimate business purposes of the compensation relationship. In no
event may the physician be required to make referrals that relate to
services that are not provided by the physician under the scope of his
or her employment or contract.
Sec. 411.355 General exceptions to the referral prohibition related to both ownership/investment and compensation.
The prohibition on referrals set forth in Sec. 411.353 does not
apply to the following types of services:
(1) Physician services as defined in Sec.
410.20(a) of this chapter that are furnished--
(i) Personally by another physician who is a member of the
referring physician's group practice or is a physician in the same
group practice (as defined in Sec. 411.351) as the referring
physician; or
(ii) Under the supervision of another physician who is a member of
the referring physician's group practice or is a physician in the same
group practice (as defined at Sec. 411.351) as the referring
physician, provided that the supervision complies with all other
applicable Medicare payment and coverage rules for the physician
services.
(2) For purposes of paragraph (a) of this section, sbull; physician
services" include only those "incident to" services (as defined in
Sec. 411.351) that are physician services under Sec. 410.20(a) of
this chapter.
(3) All other "incident to" services (for example, diagnostic
tests, physical therapy) are outside the scope of paragraph (a) of this
section.
(b) In-office ancillary services. Services (including certain items
of durable medical equipment (DME), as defined in paragraph (b)(4) of
this section, and infusion pumps that are DME (including external
ambulatory infusion pumps), but excluding all other DME and parenteral
and enteral nutrients, equipment, and supplies (such as infusion pumps
used for PEN)), that meet the following conditions:
(1) They are furnished personally by one of the following
individuals:
(i) The referring physician.
(ii) A physician who is a member of the same group practice as the
referring physician.
(iii) An individual who is supervised by the referring physician
or, if the referring physician is in a group practice, by another
physician in the group practice, provided the supervision complies with
all other applicable Medicare payment and coverage rules for the
services.
(2) They are furnished in one of the following locations:
(i) The same building (as defined in Sec. 411.351), but not
necessarily in the same space or part of the building, in which all of
the conditions of paragraph (b)(2)(i)(A), (b)(2)(i)(B), or (b)(2)(i)(C)
of this section are satisfied:
(A)
(1) The referring physician or his or her group practice (if
any) has an office that is normally open to the physician's or group's
patients for medical services at least 35 hours per week; and
(2) The referring physician or one or more members of the referring
physician's group practice regularly practices medicine and furnishes
physician services to patients at least 30 hours per week. The 30 hours
must include some physician services that are unrelated to the
furnishing of DHS payable by Medicare, any other Federal health care
payer, or a private payer, even though the physician services may lead
to the ordering of DHS; or
(B) (1) The patient receiving the DHS usually receives physician
services from the referring physician or members of the referring
physician's group practice (if any);
(2) The referring physician or the referring physician's group
practice owns or rents an office that is normally open to the
physician's or group's patients for medical services at least 8 hours
per week; and
(3) The referring physician regularly practices medicine and
furnishes physician services to patients at least 6 hours per week. The
6 hours must include some physician services that are unrelated to the
furnishing of DHS payable by Medicare, any other Federal health care
payer, or a private payer, even though the physician services may lead
to the ordering of DHS; or
(C) (1) The referring physician is present and orders the DHS during
a patient visit on the premises as set forth in paragraph
(b)(2)(i)(C)(2) of this section or the referring physician or a member
of the referring physician's group practice (if any) is present while
the DHS is furnished during occupancy of the premises as set forth in
paragraph (b)(2)(i)(C)(2) of this section;
(2) The referring physician or the referring physician's group
practice owns or rents an office that is normally open to the
physician's or group's patients for medical services at least 8 hours
per week; and
(3) The referring physician or one or more members of the referring
physician's group practice regularly practices medicine and furnishes
physician services to patients at least 6 hours per week. The 6 hours
must include some physician services that are unrelated to the
furnishing of DHS payable by Medicare, any other Federal health care
payer, or a private payer, even though the physician services may lead
to the ordering of DHS.
(ii) A centralized building (as defined in Sec. 411.351) that is
used by the group practice for the provision of some or all of the
group practice's clinical laboratory services.
(iii) A centralized building (as defined in Sec. 411.351) that is
used by the group practice for the provision of some or all of the
group practice's DHS (other than clinical laboratory services).
(3) They are billed by one of the following:
(i) The physician performing or supervising the service.
(ii) The group practice of which the performing or supervising
physician is a member under a billing number assigned to the group
practice.
(iii) The group practice if the supervising physician is a
"physician in the group practice" (as defined at Sec. 411.351) under
a billing number assigned to the group practice.
(iv) An entity that is wholly owned by the performing or
supervising physician or by that physician's group practice under the
entity's own billing number or under a billing number assigned to the
physician or group practice.
(v) An independent third party billing company acting as an agent
of the physician, group practice, or entity specified in paragraphs
(b)(3)(i) through (b)(3)(iv) of this section under a billing number
assigned to the physician, group practice, or entity, provided the
billing arrangement meets the requirements of Sec. 424.80(b)(6) of
this chapter. For purposes of this paragraph (b)(3), a group practice
may have, and bill under, more than one Medicare billing number,
subject to any applicable Medicare program restrictions.
(4) For purposes of paragraph (b) of this section, DME covered by
the in-office ancillary services exception means canes, crutches,
walkers and folding manual wheelchairs, and blood glucose monitors,
that meet the following conditions:
(i) The item is one that a patient requires for the purposes of
ambulating, uses in order to depart from the physician's office, or is
a blood glucose monitor (including one starter set of test strips and
lancets, consisting of no more than 100 of each). A blood glucose
monitor may be furnished only by a physician or employee of a physician
or group practice that also furnishes outpatient diabetes self-
management training to the patient.
(ii) The item is furnished in a building that meets the "same
building" requirements in the in-office ancillary services exception
as part of the treatment for the specific condition for which the
patient-physician encounter occurred.
(iii) The item is furnished personally by the physician who ordered
the DME,
by another physician in the group practice, or by an employee of the
physician or the group practice.
(iv) A physician or group practice that furnishes the DME meets all
DME supplier standards located in Sec. 424.57(c) of this chapter.
(v) The arrangement does not violate the anti-kickback statute
(section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
(vi) All other requirements of the in-office ancillary services
exception in paragraph (b) of this section are met.
(5) A designated health service is "furnished" for purposes of
paragraph (b) of this section in the location where the service is
actually performed upon a patient or where an item is dispensed to a
patient in a manner that is sufficient to meet the applicable Medicare
payment and coverage rules.
(6) Special rule for home care physicians. In the case of a
referring physician whose principal medical practice consists of
treating patients in their private homes, the "same building"
requirements of paragraph (b)(2)(i) of this section are met if the
referring physician (or a qualified person accompanying the physician,
such as a nurse or technician) provides the DHS contemporaneously with
a physician service that is not a designated health service provided by
the referring physician to the patient in the patient's private home.
For purposes of paragraph (b)(5) of this section only, a private home
does not include a nursing, long-term care, or other facility or
institution, except that a patient may have a private home in an
assisted living or independent living facility.
(c) Services furnished by an organization (or its contractors or
subcontractors) to enrollees. Services furnished by an organization (or
its contractors or subcontractors) to enrollees of one of the following
prepaid health plans (not including services provided to enrollees in
any other plan or line of business offered or administered by the same
organization):
(1) An HMO or a CMP in accordance with a contract with CMS under
section 1876 of the Act and part 417, subparts J through M of this
chapter.
(2) A health care prepayment plan in accordance with an agreement
with CMS under section 1833(a)(1)(A) of the Act and part 417, subpart U
of this chapter.
(3) An organization that is receiving payments on a prepaid basis
for Medicare enrollees through a demonstration project under section
402(a) of the Social Security Amendments of 1967 (42 U.S.C. 1395b-1) or
under section 222(a) of the Social Security Amendments of 1972 (42
U.S.C. 1395b-1 note).
(4) A qualified HMO (within the meaning of section 1310(d) of the
Public Health Service Act).
(5) A coordinated care plan (within the meaning of section
1851(a)(2)(A) of the Act) offered by an organization in accordance with
a contract with CMS under section 1857 of the Act and part 422 of this
chapter.
(6) A managed care organization (MCO) contracting with a State
under section 1903(m) of the Act.
(7) A prepaid inpatient health plan (PIHP) or prepaid ambulance
health plan (PAHP) contracting with a State under part 438 of this
chapter.
(8) A health insuring organization (HIO) contracting with a State
under part 438, subpart D of this chapter.
(9) An entity operating under a demonstration project under
sections 1115(a), 1915(a), 1915(b), or 1932(a) of the Act.
(d) [Reserved]
(1) Services provided by an academic
medical center if all of the following conditions are met:
(i) The referring physician--
(A) Is a bona fide employee of a component of the academic medical
center on a full-time or substantial part-time basis. (A "component"
of an academic medical center means an affiliated medical school,
faculty practice plan, hospital, teaching facility, institution of
higher education, departmental professional corporation, or nonprofit
support organization whose primary purpose is supporting the teaching
mission of the academic medical center.) The components need not be
separate legal entities;
(B) Is licensed to practice medicine in the State(s) in which he or
she practices medicine;
(C) Has a bona fide faculty appointment at the affiliated medical
school or at one or more of the educational programs at the accredited
academic hospital; and
(D) Provides either substantial academic services or substantial
clinical teaching services (or a combination of academic services and
clinical teaching services) for which the faculty member receives
compensation as part of his or her employment relationship with the
academic medical center. Parties should use a reasonable and consistent
method for calculating a physician's academic services and clinical
teaching services. A physician will be deemed to meet this requirement
if he or she spends at least 20 percent of his or her professional time
or 8 hours per week providing academic services or clinical teaching
services (or a combination of academic services or clinical teaching
services). A physician who does not spend at least 20 percent of his or
her professional time or 8 hours per week providing academic services
or clinical teaching services (or a combination of academic services or
clinical teaching services) is not precluded from qualifying under this
paragraph (e)(1)(i)(D).
(ii) The total compensation paid by all academic medical center
components to the referring physician is set in advance and, in the
aggregate, does not exceed fair market value for the services provided,
and is not determined in a manner that takes into account the volume or
value of any referrals or other business generated by the referring
physician within the academic medical center.
(iii) The academic medical center must meet all of the following
conditions:
(A) All transfers of money between components of the academic
medical center must directly or indirectly support the missions of
teaching, indigent care, research, or community service.
(B) The relationship of the components of the academic medical
center must be set forth in written agreement(s) or other written
document(s) that have been adopted by the governing body of each
component. If the academic medical center is one legal entity, this
requirement will be satisfied if transfers of funds between components
of the academic medical center are reflected in the routine financial
reports covering the components.
(C) All money paid to a referring physician for research must be
used solely to support bona fide research or teaching and must be
consistent with the terms and conditions of the grant.
(iv) The referring physician's compensation arrangement does not
violate the anti-kickback statute (section 1128B(b) of the Act), or any
Federal or State law or regulation governing billing or claims
submission.
(2) The "academic medical center" for purposes of this section
consists of--
(i) An accredited medical school (including a university, when
appropriate) or an accredited academic hospital (as defined at Sec.
411.355(e)(3));
(ii) One or more faculty practice plans affiliated with the medical
school, the affiliated hospital(s), or the accredited academic
hospital; and
(iii) One or more affiliated hospital(s) in which a majority of the
physicians on the medical staff consists of physicians who are faculty
members and a majority
of all hospital admissions are made by physicians who are faculty
members. The hospital for purposes of this paragraph (e)(2)(iii) may be
the same hospital that satisfies the requirement of paragraph (e)(2)(i)
of this section. For purposes of this provision, a faculty member is a
physician who is either on the faculty of the affiliated medical school
or on the faculty of one or more of the educational programs at the
accredited academic hospital. In meeting this paragraph (e)(2)(iii),
faculty from any affiliated medical school or accredited academic
hospital education program may be aggregated, and residents and non-
physician professionals need not be counted. Any faculty member may be
counted, including courtesy and volunteer faculty.
(3) An accredited academic hospital for purposes of this section
means a hospital or a health system that sponsors four or more approved
medical education programs.
(f) Implants furnished by an ASC. Implants furnished by an ASC,
including, but not limited to, cochlear implants, intraocular lenses,
and other implanted prosthetics, implanted prosthetic devices, and
implanted DME that meet the following conditions:
(1) The implant is implanted by the referring physician or a member
of the referring physician's group practice in a Medicare-certified ASC
(under part 416 of this chapter) with which the referring physician has
a financial relationship.
(2) The implant is implanted in the patient during a surgical
procedure paid by Medicare to the ASC as an ASC procedure under Sec.
416.65.
(3) The arrangement for the furnishing of the implant does not
violate the anti-kickback statute (section 1128B(b) of the Act).
(4) All billing and claims submission for the implants does not
violate any Federal or State law or regulation governing billing or
claims submission.
(5) The exception set forth in this paragraph (f) does not apply to
any financial relationships between the referring physician and any
entity other than the ASC in which the implant is furnished to, and
implanted in, the patient.
(g) EPO and other dialysis-related drugs furnished in or by an ESRD
facility. EPO and other dialysis-related drugs that meet the following
conditions:
(1) The EPO and other dialysis-related drugs are furnished in or by
an ESRD facility. For purposes of this paragraph (g): "EPO and other
dialysis-related drugs" means certain outpatient prescription drugs
that are required for the efficacy of dialysis and identified as
eligible for this exception on the List of CPT/HCPCS Codes; and
"furnished" means that the EPO or dialysis-related drugs are
administered to a patient in the ESRD facility, or, in the case of EPO
or Aranesp (or equivalent drug identified on the List of CPT/HCPCS
Codes) only, are dispensed by the ESRD facility for use at home.
(2) The arrangement for the furnishing of the EPO and other
dialysis-related drugs does not violate the anti-kickback statute
(section 1128B(b) of the Act).
(3) All billing and claims submission for the EPO and other
dialysis-related drugs does not violate any Federal or State law or
regulation governing billing or claims submission.
(4) The exception set forth in this paragraph (g) does not apply to
any financial relationship between the referring physician and any
entity other than the ESRD facility that furnishes the EPO and other
dialysis-related drugs to the patient.
(h) Preventive screening tests, immunizations, and vaccines.
Preventive screening tests, immunizations, and vaccines that meet the
following conditions:
(1) The preventive screening tests, immunizations, and vaccines are
subject to CMS-mandated frequency limits.
(2) The arrangement for the provision of the preventive screening
tests, immunizations, and vaccines does not violate the anti-kickback
statute (section 1128B(b) of the Act).
(3) All billing and claims submission for the preventive screening
tests, immunizations, and vaccines does not violate any Federal or
State law or regulation governing billing or claims submission.
(4) The preventive screening tests, immunizations, and vaccines
must be covered by Medicare and must be listed as eligible for this
exception on the List of CPT/HCPCS Codes.
(i) Eyeglasses and contact lenses following cataract surgery.
Eyeglasses and contact lenses that are covered by Medicare when
furnished to patients following cataract surgery that meet the
following conditions:
(1) The eyeglasses or contact lenses are provided in accordance
with the coverage and payment provisions set forth in Sec.
410.36(a)(2)(ii) and Sec. 414.228 of this chapter, respectively.
(2) The arrangement for the furnishing of the eyeglasses or contact
lenses does not violate the anti-kickback statute (section 1128B(b) of
the Act).
(3) All billing and claims submission for the eyeglasses or contact
lenses does not violate any Federal or State law or regulation
governing billing or claims submission.
(j) Intra-family rural referrals.
(1) Services provided pursuant to
a referral from a referring physician to his or her immediate family
member or to an entity furnishing DHS with which the immediate family
member has a financial relationship, if all of the following conditions
are met:
(i) The patient who is referred resides in a rural area as defined
in Sec. 411.356(c)(1);
(ii) Except as provided in paragraph (j)(1)(iii) of this section,
no other person or entity is available to furnish the services in a
timely manner in light of the patient's condition within 25 miles of
the patient's residence;
(iii) In the case of services furnished to patients where they
reside (for example, home health services or in-home DME), no other
person or entity is available to furnish the services in a timely
manner in light of the patient's condition; and
(iv) The financial relationship does not violate the anti-kickback
statute (section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission;
(2) The referring physician or the immediate family member must
make reasonable inquiries as to the availability of other persons or
entities to furnish the DHS. However, neither the referring physician
nor the immediate family member has any obligation to inquire as to the
availability of persons or entities located farther than 25 miles from
the patient's residence.
Sec. 411.356 Exceptions to referral prohibitions related to ownership or investment interests.
For purposes of Sec. 411.353, the following ownership or
investment interests do not constitute a financial relationship:
(a) Publicly-traded securities. Ownership of investment securities
(including shares or bonds, debentures, notes, or other debt
instruments) that at the time the DHS referral was made could be
purchased on the open market and that meet the requirements of
paragraphs (a)(1) and (a)(2) of this section.
(1) They are either--
(i) Listed for trading on the New York Stock Exchange, the American
Stock Exchange, or any regional exchange in which quotations are
published on a daily basis, or foreign securities listed on a
recognized foreign, national, or regional exchange in which quotations
are published on a daily basis; or
(ii) Traded under an automated interdealer quotation system
operated
by the National Association of Securities Dealers.
(2) They are in a corporation that had stockholder equity exceeding
$75 million at the end of the corporation's most recent fiscal year or
on average during the previous 3 fiscal years. "Stockholder equity"
is the difference in value between a corporation's total assets and
total liabilities.
(b) Mutual funds. Ownership of shares in a regulated investment
company as defined in section 851(a) of the Internal Revenue Code of
1986, if the company had, at the end of its most recent fiscal year, or
on average during the previous 3 fiscal years, total assets exceeding
$75 million.
(c) Specific providers. Ownership or investment interest in the
following entities, for purposes of the services specified:
(1) A rural provider, in the case of DHS furnished in a rural area
by the provider. A "rural provider" is an entity that furnishes
substantially all (not less than 75 percent) of the DHS that it
furnishes to residents of a rural area and, for the 18-month period
beginning on December 8, 2003 (or such other period as Congress may
specify), is not a specialty hospital. A rural area for purposes of
this paragraph (c)(1) is an area that is not an urban area as defined
in Sec. 412.62(f)(1)(ii) of this chapter.
(2) A hospital that is located in Puerto Rico, in the case of DHS
furnished by such a hospital.
(3) A hospital that is located outside of Puerto Rico, in the case
of DHS furnished by such a hospital, if--
(i) the referring physician is authorized to perform services at
the hospital;
(ii) effective for the 18-month period beginning on December 8,
2003 (or such other period as Congress may specify), the hospital is
not a specialty hospital; and
(iii) the ownership or investment interest is in the entire
hospital and not merely in a distinct part or department of the
hospital.
Sec. 411.357 Exceptions to the referral prohibition related to compensation arrangements.
For purposes of Sec. 411.353, the following compensation
arrangements do not constitute a financial relationship:
(a) Rental of office space. Payments for the use of office space
made by a lessee to a lessor if there is a rental or lease agreement
that meets the following requirements:
(1) The agreement is set out in writing, is signed by the parties,
and specifies the premises it covers.
(2) The term of the agreement is at least 1 year. To meet this
requirement, if the agreement is terminated during the term with or
without cause, the parties may not enter into a new agreement during
the first year of the original term of the agreement.
(3) The space rented or leased does not exceed that which is
reasonable and necessary for the legitimate business purposes of the
lease or rental and is used exclusively by the lessee when being used
by the lessee (and is not shared with or used by the lessor or any
person or entity related to the lessor), except that the lessee may
make payments for the use of space consisting of common areas if the
payments do not exceed the lessee's pro rata share of expenses for the
space based upon the ratio of the space used exclusively by the lessee
to the total amount of space (other than common areas) occupied by all
persons using the common areas.
(4) The rental charges over the term of the agreement are set in
advance and are consistent with fair market value.
(5) The rental charges over the term of the agreement are not
determined in a manner that takes into account the volume or value of
any referrals or other business generated between the parties.
(6) The agreement would be commercially reasonable even if no
referrals were made between the lessee and the lessor.
(7) A holdover month-to-month rental for up to 6 months immediately
following an agreement of at least 1 year that met the conditions of
this paragraph (a) will satisfy this paragraph (a), provided the
holdover rental is on the same terms and conditions as the immediately
preceding agreement.
(b) Rental of equipment. Payments made by a lessee to a lessor for
the use of equipment under the following conditions:
(1) A rental or lease agreement is set out in writing, is signed by
the parties, and specifies the equipment it covers.
(2) The equipment rented or leased does not exceed that which is
reasonable and necessary for the legitimate business purposes of the
lease or rental and is used exclusively by the lessee when being used
by the lessee and is not shared with or used by the lessor or any
person or entity related to the lessor.
(3) The agreement provides for a term of rental or lease of at
least 1 year. To meet this requirement, if the agreement is terminated
during the term with or without cause, the parties may not enter into a
new agreement during the first year of the original term of the
agreement.
(4) The rental charges over the term of the agreement are set in
advance, are consistent with fair market value, and are not determined
in a manner that takes into account the volume or value of any
referrals or other business generated between the parties.
(5) The agreement would be commercially reasonable even if no
referrals were made between the parties.
(6) A holdover month-to-month rental for up to 6 months immediately
following an agreement of at least 1 year that met the conditions of
this paragraph (b) will satisfy this paragraph (b), provided the
holdover rental is on the same terms and conditions as the immediately
preceding agreement.
(c) Bona fide employment relationships. Any amount paid by an
employer to a physician (or immediate family member) who has a bona
fide employment relationship with the employer for the provision of
services if the following conditions are met:
(1) The employment is for identifiable services.
(2) The amount of the remuneration under the employment is--
(i) Consistent with the fair market value of the services; and
(ii) Except as provided in paragraph (c)(4) of this section, is not
determined in a manner that takes into account (directly or indirectly)
the volume or value of any referrals by the referring physician.
(3) The remuneration is provided under an agreement that would be
commercially reasonable even if no referrals were made to the employer.
(4) Paragraph (c)(2)(ii) of this section does not prohibit payment
of remuneration in the form of a productivity bonus based on services
performed personally by the physician (or immediate family member of
the physician).
(d) Personal service arrangements.
(1) General--Remuneration from
an entity under an arrangement or multiple arrangements to a physician,
an immediate family member of the physician, or to a group practice,
including remuneration for specific physician services furnished to a
nonprofit blood center, if the following conditions are met:
(i) Each arrangement is set out in writing, is signed by the
parties, and specifies the services covered by the arrangement.
(ii) The arrangement(s) covers all of the services to be furnished
by the physician (or an immediate family member of the physician) to
the entity. This requirement will be met if all separate arrangements
between the entity and the physician and the entity
and any family members incorporate each other by reference or if they
cross-reference a master list of contracts that is maintained and
updated centrally and is available for review by the Secretary upon
request. The master list should be maintained in a manner that
preserves the historical record of contracts. A physician or family
member can "furnish" services through employees whom they have hired
for the purpose of performing the services; through a wholly owned
entity; or through locum tenens physicians (as defined in Sec.
411.351, except that the regular physician need not be a member of a
group practice).
(iii) The aggregate services contracted for do not exceed those
that are reasonable and necessary for the legitimate business purposes
of the arrangement(s).
(iv) The term of each arrangement is for at least 1 year. To meet
this requirement, if an arrangement is terminated during the term with
or without cause, the parties may not enter into the same or
substantially the same arrangement during the first year of the
original term of the arrangement.
(v) The compensation to be paid over the term of each arrangement
is set in advance, does not exceed fair market value, and, except in
the case of a physician incentive plan, is not determined in a manner
that takes into account the volume or value of any referrals or other
business generated between the parties.
(vi) The services to be furnished under each arrangement do not
involve the counseling or promotion of a business arrangement or other
activity that violates any State or Federal law.
(2) Physician incentive plan exception. In the case of a physician
incentive plan (as defined in Sec. 411.351) between a physician and an
entity (or downstream subcontractor), the compensation may be
determined in a manner (through a withhold, capitation, bonus, or
otherwise) that takes into account directly or indirectly the volume or
value of any referrals or other business generated between the parties,
if the plan meets the following requirements:
(i) No specific payment is made directly or indirectly under the
plan to a physician or a physician group as an inducement to reduce or
limit medically necessary services furnished with respect to a specific
individual enrolled with the entity.
(ii) Upon request of the Secretary, the entity provides the
Secretary with access to information regarding the plan (including any
downstream subcontractor plans), in order to permit the Secretary to
determine whether the plan is in compliance with paragraph (d)(2) of
this section.
(iii) In the case of a plan that places a physician or a physician
group at substantial financial risk as defined in Sec. 422.208, the
entity (and/or any downstream contractor) complies with the
requirements concerning physician incentive plans set forth at Sec.
422.208 and Sec. 422.210 of this chapter.
(1) Remuneration provided by a hospital
to recruit a physician that is paid directly to the physician and that
is intended to induce the physician to relocate his or her medical
practice to the geographic area served by the hospital in order to
become a member of the hospital's medical staff, if all of the
following conditions are met:
(i) The arrangement is set out in writing and signed by both
parties;
(ii) The arrangement is not conditioned on the physician's referral
of patients to the hospital;
(iii) The hospital does not determine (directly or indirectly) the
amount of the remuneration to the physician based on the volume or
value of any actual or anticipated referrals by the physician or other
business generated between the parties; and
(iv) The physician is allowed to establish staff privileges at any
other hospital(s) and to refer business to any other entities (except
as referrals may be restricted under a separate employment or services
contract that complies with Sec. 411.354(d)(4)).
(2) The "geographic area served by the hospital" is the area
composed of the lowest number of contiguous zip codes from which the
hospital draws at least 75 percent of its inpatients. A physician will
be considered to have relocated his or her medical practice if--
(i) The physician moves his or her medical practice at least 25
miles; or
(ii) The physician's new medical practice derives at least 75
percent of its revenues from professional services furnished to
patients (including hospital inpatients) not seen or treated by the
physician at his or her prior medical practice site during the
preceding 3 years, measured on an annual basis (fiscal or calendar
year). For the initial "start up" year of the recruited physician's
practice, the 75 percent test in the preceding sentence will be
satisfied if there is a reasonable expectation that the recruited
physician's medical practice for the year will derive at least 75
percent of its revenues from professional services furnished to
patients not seen or treated by the physician at his or her prior
medical practice site during the preceding 3 years.
(3) Residents and physicians who have been in practice 1 year or
less will not be subject to the relocation requirement of this
paragraph, except that the recruited resident or physician must
establish his or her medical practice in the geographic area served by
the hospital.
(4) In the case of remuneration provided by a hospital to a
physician either indirectly through payments made to another physician
or physician practice, or directly to a physician who joins a physician
practice, the following additional conditions must be met:
(i) The written agreement in Sec. 411.357(e)(1) is also signed by
the party to whom the payments are directly made;
(ii) Except for actual costs incurred by the physician or physician
practice in recruiting the new physician, the remuneration is passed
directly through to or remains with the recruited physician;
(iii) In the case of an income guarantee made by the hospital to a
recruited physician who joins a physician or physician practice, the
costs allocated by the physician or physician practice to the recruited
physician do not exceed the actual additional incremental costs
attributable to the recruited physician;
(iv) Records of the actual costs and the passed through amounts are
maintained for a period of at least 5 years and made available to the
Secretary upon request;
(v) The remuneration from the hospital under the arrangement is not
to be determined in a manner that takes into account (directly or
indirectly) the volume or value of any actual or anticipated referrals
by the recruited physician or the physician practice (or any physician
affiliated with the physician practice) receiving the direct payments
from the hospital;
(vi) The physician or physician practice may not impose additional
practice restrictions on the recruited physician other than conditions
related to quality of care; and
(vii) The arrangement does not violate the anti-kickback statute
(section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
(5) This paragraph (e) applies to remuneration provided by a
federally qualified health center in the same manner as it applies to
remuneration provided by a hospital, so long as the arrangement does
not violate the anti-kickback statute (section 1128B(b) of the Act), or
any Federal or State law or
regulation governing billing or claims submission.
(f) Isolated transactions. Isolated financial transactions, such as
a one-time sale of property or a practice, if all of the following
conditions are met:
(1) The amount of remuneration under the isolated transaction is--
(i) Consistent with the fair market value of the transaction; and
(ii) Not determined in a manner that takes into account (directly
or indirectly) the volume or value of any referrals by the referring
physician or other business generated between the parties.
(2) The remuneration is provided under an agreement that would be
commercially reasonable even if the physician made no referrals.
(3) There are no additional transactions between the parties for 6
months after the isolated transaction, except for transactions that are
specifically excepted under the other provisions in Sec. 411.355
through Sec. 411.357 and except for commercially reasonable post-
closing adjustments that do not take into account (directly or
indirectly) the volume or value of referrals or other business
generated by the referring physician.
(g) Certain arrangements with hospitals. Remuneration provided by a
hospital to a physician if the remuneration does not relate, directly
or indirectly, to the furnishing of DHS. To qualify as "unrelated,"
remuneration must be wholly unrelated to the furnishing of DHS and must
not in any way take into account the volume or value of a physician's
referrals. Remuneration relates to the furnishing of DHS if it--
(1) Is an item, service, or cost that could be allocated in whole
or in part to Medicare or Medicaid under cost reporting principles;
(2) Is furnished, directly or indirectly, explicitly or implicitly,
in a selective, targeted, preferential, or conditioned manner to
medical staff or other persons in a position to make or influence
referrals; or
(3) Otherwise takes into account the volume or value of referrals
or other business generated by the referring physician.
(h) Group practice arrangements with a hospital. An arrangement
between a hospital and a group practice under which DHS are furnished
by the group but are billed by the hospital if the following conditions
are met:
(1) With respect to services furnished to an inpatient of the
hospital, the arrangement is pursuant to the provision of inpatient
hospital services under section 1861(b)(3) of the Act.
(2) The arrangement began before, and has continued in effect
without interruption since, December 19, 1989.
(3) With respect to the DHS covered under the arrangement, at least
75 percent of these services furnished to patients of the hospital are
furnished by the group under the arrangement.
(4) The arrangement is in accordance with a written agreement that
specifies the services to be furnished by the parties and the
compensation for services furnished under the agreement.
(5) The compensation paid over the term of the agreement is
consistent with fair market value, and the compensation per unit of
service is fixed in advance and is not determined in a manner that
takes into account the volume or value of any referrals or other
business generated between the parties.
(6) The compensation is provided in accordance with an agreement
that would be commercially reasonable even if no referrals were made to
the entity.
(i) Payments by a physician. Payments made by a physician (or his
or her immediate family member)--
(1) To a laboratory in exchange for the provision of clinical
laboratory services; or
(2) To an entity as compensation for any other items or services
that are furnished at a price that is consistent with fair market
value, and that are not specifically excepted under another provision
in Sec. 411.355 through Sec. 411.357 (including, but not limited to,
Sec. 411.357(l)). "Services" in this context means services of any
kind (not just those defined as "services" for purposes of the
Medicare program in Sec. 400.202).
(j) Charitable donations by a physician. Bona fide charitable
donations made by a physician (or immediate family member) to an entity
if all of the following conditions are satisfied:
(1) The charitable donation is made to an organization exempt from
taxation under the Internal Revenue Code (or to a supporting
organization);
(2) The donation is neither solicited, nor made, in any manner that
takes into account the volume or value of referrals or other business
generated between the physician and the entity; and
(3) The donation arrangement does not violate the anti-kickback
statute (section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
(k) Non-monetary compensation up to $300.
(1) Compensation from an
entity in the form of items or services (not including cash or cash
equivalents) that does not exceed an aggregate of $300 per year, if all
of the following conditions are satisfied:
(i) The compensation is not determined in any manner that takes
into account the volume or value of referrals or other business
generated by the referring physician.
(ii) The compensation may not be solicited by the physician or the
physician's practice (including employees and staff members).
(iii) The compensation arrangement does not violate the anti-
kickback statute (section 1128B(b) of the Act) or any Federal or State
law or regulation governing billing or claims submission.
(2) The $300 limit in this paragraph (k) will be adjusted each
calendar year to the nearest whole dollar by the increase in the
Consumer Price Index-Urban All Items (CPI-U) for the 12-month period
ending the preceding September 30. CMS intends to display as soon as
possible after September 30 each year, both the increase in the CPI-U
for the 12-month period and the new non-monetary compensation limit on
the physician self-referral Web site: http://cms.hhs.gov/medlearn/refphys.asp.
(l) Fair market value compensation. Compensation resulting from an
arrangement between an entity and a physician (or an immediate family
member) or any group of physicians (regardless of whether the group
meets the definition of a group practice set forth in Sec. 411.352)
for the provision of items or services by the physician (or an
immediate family member) or group of physicians to the entity, if the
arrangement is set forth in an agreement that meets the following
conditions:
(1) The arrangement is in writing, signed by the parties, and
covers only identifiable items or services, all of which are specified
in the agreement.
(2) The writing specifies the timeframe for the arrangement, which
can be for any period of time and contain a termination clause,
provided the parties enter into only one arrangement for the same items
or services during the course of a year. An arrangement made for less
than 1 year may be renewed any number of times if the terms of the
arrangement and the compensation for the same items or services do not
change.
(3) The writing specifies the compensation that will be provided
under the arrangement. The compensation must be set in advance,
consistent with fair market value, and not determined in a manner that
takes into account the volume or value of referrals or other business
generated by the referring physician.
(4) The arrangement would be commercially reasonable (taking into
account the nature and scope of the
transaction) and furthers the legitimate business purposes of the
parties.
(5) It does not violate the anti-kickback statute (section 1128B(b)
of the Act), or any Federal or State law or regulation governing
billing or claims submission.
(6) The services to be performed under the arrangement do not
involve the counseling or promotion of a business arrangement or other
activity that violates a State or Federal law.
(m) Medical staff incidental benefits. Compensation in the form of
items or services (not including cash or cash equivalents) from a
hospital to a member of its medical staff when the item or service is
used on the hospital's campus, if all of the following conditions are
met:
(1) The compensation is provided to all members of the medical
staff practicing in the same specialty (but not necessarily accepted by
every member to whom it is offered) without regard to the volume or
value of referrals or other business generated between the parties.
(2) Except with respect to identification of medical staff on a
hospital Web site or in hospital advertising, the compensation is
provided only during periods when the medical staff members are making
rounds or are engaged in other services or activities that benefit the
hospital or its patients.
(3) The compensation is provided by the hospital and used by the
medical staff members only on the hospital's campus. Compensation,
including, but not limited to, Internet access, pagers, or two-way
radios, used away from the campus only to access hospital medical
records or information or to access patients or personnel who are on
the hospital campus, as well as the identification of the medical staff
on a hospital Web site or in hospital advertising, will meet the "on
campus" requirement of this paragraph (m).
(4) The compensation is reasonably related to the provision of, or
designed to facilitate directly or indirectly the delivery of, medical
services at the hospital.
(5) The compensation is of low value (that is, less than $25) with
respect to each occurrence of the benefit (for example, each meal given
to a physician while he or she is serving patients who are hospitalized
must be of low value). The $25 limit in this paragraph (m)(5) will be
adjusted each calendar year to the nearest whole dollar by the increase
in the Consumer Price Index-Urban All Items (CPI-U) for the 12-month
period ending the preceding September 30. CMS intends to display as
soon as possible after September 30 each year both the increase in the
CPI-U for the 12-month period and the new limits on the physician self-
referral Web site: http://cms.hhs.gov/medlearn/refphys.asp.
(6) The compensation is not determined in any manner that takes
into account the volume or value of referrals or other business
generated between the parties.
(7) The compensation arrangement does not violate the anti-kickback
statute, (section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
(8) Other facilities and health care clinics (including, but not
limited to, federally qualified health centers) that have bona fide
medical staffs may provide compensation under this paragraph (m) on the
same terms and conditions applied to hospitals under this paragraph
(m).
(n) Risk-sharing arrangements. Compensation pursuant to a risk-
sharing arrangement (including, but not limited to, withholds, bonuses,
and risk pools) between a managed care organization or an independent
physicians' association and a physician (either directly or indirectly
through a subcontractor) for services provided to enrollees of a health
plan, provided that the arrangement does not violate the anti-kickback
statute (section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission. For purposes of this
paragraph (n), "health plan" and "enrollees" have the meanings
ascribed to those terms in Sec. 1001.952(l) of this title.
(o) Compliance training. Compliance training provided by an entity
to a physician (or to the physician's immediate family member or office
staff) who practices in the entity's local community or service area,
provided the training is held in the local community or service area.
For purposes of this paragraph (o), "compliance training" means
training regarding the basic elements of a compliance program (for
example, establishing policies and procedures, training of staff,
internal monitoring, reporting); specific training regarding the
requirements of Federal and State health care programs (for example,
billing, coding, reasonable and necessary services, documentation,
unlawful referral arrangements); or training regarding other Federal,
State, or local laws, regulations, or rules governing the conduct of
the party for whom the training is provided (but not including
continuing medical education).
(p) Indirect compensation arrangements. Indirect compensation
arrangements, as defined in Sec. 411.354(c)(2), if all of the
following conditions are satisfied:
(1) The compensation received by the referring physician (or
immediate family member) described in Sec. 411.354(c)(2)(ii) is fair
market value for services and items actually provided and not
determined in any manner that takes into account the value or volume of
referrals or other business generated by the referring physician for
the entity furnishing DHS.
(2) The compensation arrangement described in Sec.
411.354(c)(2)(ii) is set out in writing, signed by the parties, and
specifies the services covered by the arrangement, except in the case
of a bona fide employment relationship between an employer and an
employee, in which case the arrangement need not be set out in a
written contract, but must be for identifiable services and be
commercially reasonable even if no referrals are made to the employer.
(3) The compensation arrangement does not violate the anti-kickback
statute (section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
(q) Referral services. Remuneration that meets all of the
conditions set forth in Sec. 1001.952(f) of this title.
(r) Obstetrical malpractice insurance subsidies. Remuneration to
the referring physician that meets all of the conditions set forth in
Sec. 1001.952(o) of this title.
(s) Professional courtesy. Professional courtesy (as defined in
Sec. 411.351) offered by an entity to a physician or a physician's
immediate family member or office staff if all of the following
conditions are met:
(1) The professional courtesy is offered to all physicians on the
entity's bona fide medical staff or in the entity's local community or
service area without regard to the volume or value of referrals or
other business generated between the parties;
(2) The health care items and services provided are of a type
routinely provided by the entity;
(3) The entity's professional courtesy policy is set out in writing
and approved in advance by the entity's governing body;
(4) The professional courtesy is not offered to a physician (or
immediate family member) who is a Federal health care program
beneficiary, unless there has been a good faith showing of financial
need;
(5) If the professional courtesy involves any whole or partial
reduction of any coinsurance obligation, the insurer is informed in
writing of the reduction; and
(6) The arrangement does not violate the anti-kickback statute
(section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
(t) Retention payments in underserved areas.
(1) Remuneration
provided by a hospital or federally qualified health center directly to
a physician on the hospital's or federally qualified health center's
medical staff to retain the physician's medical practice in the
geographic area served by the hospital or federally qualified health
center (as defined in paragraph (e)(2) of this section), if all of the
following conditions are met:
(i) Paragraphs 411.357(e)(1)(i) through 411.357(e)(1)(iv) are
satisfied;
(ii) The geographic area served by the hospital or federally
qualified health center is a HPSA (regardless of the physician's
specialty) or is an area with demonstrated need for the physician as
determined by the Secretary in an advisory opinion issued according to
section 1877(g)(6) of the Act;
(iii) The physician has a bona fide firm, written recruitment offer
from a hospital or federally qualified health center that is not
related to the hospital or the federally qualified health center making
the payment, and the offer specifies the remuneration being offered and
would require the physician to move the location of his or her practice
at least 25 miles and outside of the geographic area served by the
hospital or federally qualified health center making the retention
payment;
(iv) The retention payment is limited to the lower of--
(A) The amount obtained by subtracting (1) the physician's current
income from physician and related services from (2) the income the
physician would receive from comparable physician and related services
in the bona fide recruitment offer, provided that the respective
incomes are determined using a reasonable and consistent methodology,
and that they are calculated uniformly over no more than a 24-month
period; or
(B) The reasonable costs the hospital or federally qualified health
center would otherwise have to expend to recruit a new physician to the
geographic area served by the hospital or federally qualified health
center in order to join the medical staff of the hospital or federally
qualified health center to replace the retained physician;
(v) Any retention payment is subject to the same obligations and
restrictions, if any, on repayment or forgiveness of indebtedness as
the bona fide recruitment offer;
(vi) The hospital or federally qualified health center does not
enter into a retention arrangement with a particular referring
physician more frequently than once every 5 years and the amount and
terms of the retention payment are not altered during the term of the
arrangement in any manner that takes into account the volume or value
of referrals or other business generated by the physician;
(vii) The arrangement otherwise complies with all of the conditions
of this section; and
(viii) The arrangement does not violate the anti-kickback statute
(section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
(2) The Secretary may waive the relocation requirement of paragraph
(t)(1) of this section for payments made to physicians practicing in a
HPSA or an area with demonstrated need for the physician through an
advisory opinion issued according to section 1877(g)(6) of the Act, if
the retention payment arrangement otherwise complies with all of the
conditions of this paragraph.
(u) Community-wide health information systems. Items or services of
information technology provided by an entity to a physician that allow
access to, and sharing of, electronic health care records and any
complementary drug information systems, general health information,
medical alerts, and related information for patients served by
community providers and practitioners, in order to enhance the
community's overall health, provided that--
(1) The items or services are available as necessary to enable the
physician to participate in a community-wide health information system,
are principally used by the physician as part of the community-wide
health information system, and are not provided to the physician in any
manner that takes into account the volume or value of referrals or
other business generated by the physician;
(2) The community-wide health information systems are available to
all providers, practitioners, and residents of the community who desire
to participate; and
(3) The arrangement does not violate the anti-kickback statute,
(section 1128B(b) of the Act), or any Federal or State law or
regulation governing billing or claims submission.
Sec. 411.361 Reporting requirements.
(a) Basic rule. Except as provided in paragraph (b) of this
section, all entities furnishing services for which payment may be made
under Medicare must submit information to CMS or to the Office of
Inspector General (OIG) concerning their reportable financial
relationships (as defined in paragraph (d) of this section), in the
form, manner, and at the times that CMS or OIG specifies.
(b) Exception. The requirements of paragraph (a) of this section do
not apply to entities that furnish 20 or fewer Part A and Part B
services during a calendar year, or to any Medicare covered services
furnished outside the United States.
(c) Required information. The information requested by CMS or OIG
can include the following:
(1) The name and unique physician identification number (UPIN) of
each physician who has a reportable financial relationship with the
entity.
(2) The name and UPIN of each physician who has an immediate family
member (as defined in Sec. 411.351) who has a reportable financial
relationship with the entity.
(3) The covered services furnished by the entity.
(4) With respect to each physician identified under paragraphs
(c)(1) and (c)(2) of this section, the nature of the financial
relationship (including the extent and/or value of the ownership or
investment interest or the compensation arrangement) as evidenced in
records that the entity knows or should know about in the course of
prudently conducting business, including, but not limited to, records
that the entity is already required to retain to comply with the rules
of the Internal Revenue Service and the Securities and Exchange
Commission and other rules of the Medicare and Medicaid programs.
(d) Reportable financial relationships. For purposes of this
section, a reportable financial relationship is any ownership or
investment interest, as defined in Sec. 411.354(b) or any compensation
arrangement, as defined in Sec. 411.354(c), except for ownership or
investment interests that satisfy the exceptions set forth in Sec.
411.356(a) or Sec. 411.356(b) regarding publicly-traded securities and
mutual funds.
(e) Form and timing of reports. Entities that are subject to the
requirements of this section must submit the required information, upon
request, within the time period specified by the request. Entities are
given at least 30 days from the date of the request to provide the
information. Entities must retain the information, and documentation
sufficient to verify the information, for the length of time specified
by the applicable regulatory requirements for the information, and,
upon request, must make that
information and documentation available to CMS or OIG.
(f) Consequences of failure to report. Any person who is required,
but fails, to submit information concerning his or her financial
relationships in accordance with this section is subject to a civil
money penalty of up to $10,000 for each day following the deadline
established under paragraph (e) of this section until the information
is submitted. Assessment of these penalties will comply with the
applicable provisions of part 1003 of this title.
(g) Public disclosure. Information furnished to CMS or OIG under
this section is subject to public disclosure in accordance with the
provisions of part 401 of this chapter.