Comparison Chart of Anti-Kickback Safe Harbors and Stark Exceptions -- EPO and Other Dialysis-Related Drugs
EPO and Other Dialysis-Related Drugs Furnished in or by an ESRD Facility – Current as of March 2021
Stark |
Anti-Kickback |
The EPO and other dialysis-related drugs are furnished in or by an ESRD facility. “EPO and other dialysis-related drugs" means certain outpatient prescription drugs that are required for the efficacy of dialysis and identified as eligible for this exception on the List of CPT/HCPCS Codes; and "furnished" means that the EPO or dialysis-related drugs are administered to a patient in the ESRD facility, or, in the case of EPO or Aranesp (or equivalent drug identified on the List of CPT/HCPCS Codes) only, are dispensed by the ESRD facility for use at home. |
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All billing and claims submission for the EPO and other dialysis-related drugs does not violate any Federal or State law or regulation governing billing or claims submission. |
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This exception does not apply to any financial relationships between the referring physician and any entity other than the ESRD facility that furnishes the EPO and other dialysis-related drugs to the patient. |