The Centers for Medicare & Medicaid Services (CMS) recently published updated data regarding settlements made under the Voluntary Self-Referral Disclosure Protocol (SRDP), an important mechanism through which providers may disclose actual or potential violations of the federal physician self-referral prohibition commonly known as the Stark Law.

Although the data remain limited, they show a significant increase in the number of disclosures settled in the last year, consistent with public statements from agency representatives about how CMS is now processing disclosures. While the number of settlements is up, the amounts paid thereunder appear to be generally consistent with years past, though observers should resist the temptation to read too much into the data.

Background

The Affordable Care Act required the establishment of a voluntary self-referral disclosure protocol that sets forth a process through which providers may disclose actual or potential violations of the Stark Law. In accordance with this mandate, CMS established the SRDP on September 23, 2010.

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Photo of Travis Lloyd Travis Lloyd

Travis Lloyd focuses on complex healthcare regulatory matters. He represents a broad range of healthcare industry clients, including hospitals and health systems, ambulatory surgery centers, post-acute providers, behavioral health providers, and physician practices, as well as their strategic partners. He has significant experience…

Travis Lloyd focuses on complex healthcare regulatory matters. He represents a broad range of healthcare industry clients, including hospitals and health systems, ambulatory surgery centers, post-acute providers, behavioral health providers, and physician practices, as well as their strategic partners. He has significant experience in the areas of fraud and abuse, reimbursement, and health information privacy and security, as well as in the licensure, certification, and accreditation of healthcare facilities. His work has earned numerous noteworthy plaudits, including selection by Law360 as one of five “Rising Stars” in healthcare across the country in 2018 and selection by Bloomberg Law for its inaugural “They’ve Got Next” series in 2021.

Photo of Kristin Bohl Kristin Bohl

Kristin Bohl blends her experience as a healthcare attorney in private practice and government service with first-hand knowledge of care delivery as a registered nurse. Kristin advises hospitals, health systems and other provider organizations on compliance and regulatory issues and fraud and abuse…

Kristin Bohl blends her experience as a healthcare attorney in private practice and government service with first-hand knowledge of care delivery as a registered nurse. Kristin advises hospitals, health systems and other provider organizations on compliance and regulatory issues and fraud and abuse matters, with a focus on the wide range of Medicare payment models. Before she entered private practice, Kristin was the Technical Advisor in the Division of Technical Payment Policy at the Centers for Medicare & Medicaid Services (CMS), where she concentrated on Stark Law matters. She was part of a team that developed the CMS Voluntary Self-Referral Disclosure Protocol and provided technical assistance in the creation of Stark Law waivers for Accountable Care Organization (ACO) models and other payment initiatives of the Center for Medicare and Medicaid Innovation within CMS.

Photo of Justin Brown Justin Brown

Justin Brown focuses on healthcare fraud and abuse matters, particularly those involving the federal physician self-referral law (Stark Law), the federal Anti-Kickback Statute, and state analogs. He represents hospitals and health systems, ambulatory surgery centers, post-acute care providers, and physician practices, along with…

Justin Brown focuses on healthcare fraud and abuse matters, particularly those involving the federal physician self-referral law (Stark Law), the federal Anti-Kickback Statute, and state analogs. He represents hospitals and health systems, ambulatory surgery centers, post-acute care providers, and physician practices, along with their strategic and financial sponsors, regularly serving as healthcare regulatory counsel for transactions, enforcement actions, and internal investigations, and advising on day-to-day operations. Before entering private practice, Justin was a trial attorney in the Massachusetts public defender’s office.

*Justin Brown is admitted to practice in Alabama and Massachusetts; Tennessee bar application pending