The Eliminating Kickbacks in Recovery Act of 2018 (EKRA) is a new federal law that applies to diagnostic and clinical labs throughout the country. The law is a part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT). It takes effect October 24, 2019.
Stark Law is a complex set of rules that has the main purpose of preventing physician self-referrals. More specifically, the rules attempt to prevent physicians from referring a Medicare or Medicaid patient to a medical facility that the physician (or the physician's family member) has a financial interest in.
Providers that have $500,000 or more in revenues from NY Medicaid within a consecutive year are required to have a compliance program in effect under New York law (18 NYCRR §521.2(b)).
In its annual report from the 2015 fiscal year, the Department of Health and Human Services' Office of Inspector General had some criticism for hospices.