As of Oct. 1, physicians will have to restructure or unwind many hospital arrangements to avoid federal penalties. Some doctors worry patient care will suffer.
Sweeping changes to the federal anti-self-referral rules, approved more than a year ago, will take effect Oct. 1, potentially causing many physician-hospital arrangements to fall out of compliance if doctors are not prepared. Being unaware of the Stark law revisions or the structure of a particular deal will not excuse physicians from liability, legal experts say.
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