Personal Services Agreement Safe Harbor

(C) Includes and specifies the amount of all goods, goods, services, donations or loans to be made available to the Health Centre by the person or organization. (v) Alternatively, the qualified managed care plan for a first-level contractor who is a physician has exposed the physician to a risk to referral services in an amount exceeding the significant financial risk threshold set out in 42 CFR 417,479(f), and the agreement meets the stop-loss and beneficiary investigation requirements of 42 CFR 417,479(g). (iii) The company or an investor may not market or provide the company`s goods or services (or those of another company under a cross-reference agreement) to passive investors in a manner different from that of non-investors. 1. The payment is made in accordance with a written agreement between the company paying the premiums and the administrator specifying the payments to be made by the company and the conditions under which the payments are to be made. Forward-looking: The final regulations: (i) provide more flexibility in the development of compensation agreements that can serve as a safe haven for personal services; (ii) better aligns protection with the safeguards provided by the Physician Referral Act (Stark`s Act); and (iii) removing regulatory barriers related to value-based compensation arrangements to improve the coordination and quality of patient care. (iii) the eligible entity provides the service only in the local territory of the eligible entity, i.e. from a stop on the road to a stop in a place where health goods or services are provided, shall not exceed 25 miles, unless a stopover on the road is in a rural area; the distance may be up to 50 miles between that stop and any supplier or supplier on the route; and (4) Unless both parties are part of the same joint practice within the meaning of paragraph (p) of this Section, the only exchange of value between the parties is the remuneration received by the parties directly from the third-party payers or the patient who compensates the parties for the services they have each provided to the patient. (2) Payments made to first-stage contractors and downstream contractors for the supply or brokering of goods or services reimbursed by a federal health program are identical to payment agreements between those parties for the same goods or services provided to other beneficiaries with a similar state of health, provided that these payments can be adjusted if the adjustments change.

the patterns of use or costs of providing goods or services to the population concerned. (A) The health care plan shall provide the same increased coverage or reduced cost-sharing or premium amounts to all members of the health insurance or government health program covered by the contract or agreement, unless approved by CMS or a government health program. and (6) Neither the eligibility of a recipient for the goods or services nor the amount or nature of the goods or services shall be determined in a manner that takes into account the volume or value of referrals or other transactions generated between the parties. (6) The services provided under the Contract do not include advising or promoting any business agreement or other activity that violates state or federal laws. 3. The reporting service shall not impose any requirement as to how the subscriber provides services to a recruited person, except that the referral service may require the subscriber to charge the recommended person the same rate as it charges to other persons not recommended by the mediation service, or that those services be provided free of charge or at a reduced cost. (B) meet the safe harbour requirements for the recruitment of practitioners referred to in paragraph n of this Section. . . .