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Florida Statutes § 456.053
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Current as of June 2015
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“Financial arrangements between referring health care providers and providers of health care under the Patient Self-Referral Act of 1992”
A health care provider who refers patients to another provider in which the referring health care provider has a financial interest represents a conflict of interest. Thus, a health care provider may not refer a patient to another provider in which the referring health care provider has a financial interest.
A group practice or sole health care provider who accepts outside referrals for diagnostic imaging services:
- May not provide financial incentives or pay payments for patient referrals;
- Must refer Medicaid recipients to a hospital for outpatient diagnostic imaging services only after the physician furnishes the hospital with documentation demonstrating the medical necessity for the referral; and
- Annually report to the Agency for Health Care Administration providing the number of referrals accepted for diagnostic imaging services and the total number of patients receiving diagnostic imaging services.
A health care provider who violates this statute may be fined and face disciplinary sanctions.
Related laws:
Current as of June 2015
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