CMS Modifies Self-Referral Disclosure Protocol, Creates Forms

CMS has made it official; providers that use the Self-Referral Disclosure Protocol (SRDP) to report Stark violations will have to reach back six years to conform to the Medicare 60-day overpayment return rule, according to a May 6 update to the protocol. Until CMS finalized the overpayment refund regulation in February, the SRDP required providers to refund only four years of Medicare reimbursement tainted by “actual or potential” violations of the Stark self-referral law. But that has changed with the Medicare rule, which gives providers 60 days to report and return overpayments once they have been identified and quantified. The update to the SRDP includes a new form that providers must use to disclose violations. You have to give more detailed information, including the tax identification number and national provider identifier (NPI) for every physician. If you have arrangements with a large physician group and 25 physicians are owners, now you have to have a separate form for every one of those physicians.

Source: https://aishealth.com