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Physician Self Referral

CPI-U Updates

Non-Monetary Compensation and Medical Staff Incidental Benefits Exceptions

The regulations at §411.357(k) and (m) set forth exceptions to the physician self-referral prohibition for certain non-monetary compensation up to $300 and certain medical staff incidental benefits that are less than $25, respectively.  Under both exceptions, the compensation limits are adjusted each calendar year to the nearest whole dollar by the increase in the Consumer Price Index-Urban All Item (CPI-U) for the 12-month period ending the preceding September 30.

The percentage increase in the CPI-U for the 12-month period ending September 30, 2007 is 2.8 percent.  Thus, for the calendar year beginning January 1, 2008, the compensation limit for the exception at §411.357(k) is $338 per year, and the value of any medical staff incidental benefits to be furnished in compliance with the exception at §411.357(m) must be less than $29 per occurrence of the benefit.

The following table displays the update amounts for each calendar year:

 

Non-monetary compensation limit in accordance with §411.357(k)

Medical staff incidental benefit in accordance with §411.357(m)(5)

Percentage increase in the CPI-U

CY 2004

$300

Less than $25

N/A

CY 2005

$308

Less than $26

2.5%

CY 2006

$322

Less than $27

4.7%

CY 2007

$329

Less than $28

2.1%

CY 2008

$338

Less than $29

2.8%

 

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Page Last Modified: 04/21/2008 10:40:27 AM
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