Page:United States Statutes at Large Volume 107 Part 1.djvu/628

 107 STAT. 602 PUBLIC LAW 103-66 —AUG. 10, 1993 "(vi) the compensation is provided pursuant to an agreement which would be commercially reasonable even if no referrals were made to the entity, and "(vii) the arrangement between the parties meets such other requirements as the Secretary may impose by relation as needed to protect against program or patient abuse. "(8) PAYMENTS BY A PHYSICIAN FOR ITEMS AND SERVICES.— Payments made by a physician— "(A) to a laboratory in exchange for the provision of clinical laboratory services, or "(B) to an entity as compensation for other items or services if the items or services are furnished at a price that is consistent with fair market value.**; (2) by amending subsection (h) to read as follows: "(h) DEFINITIONS AND SPECIAL RULES.— For purposes of this section: "(1) COMPENSATION ARRANGEMENT; REMUNERATION.— (A) The term 'compensation arrangement' means any arrangement involving any remuneration between a physician (or an immediate family member of such physician) and an entity other than an arrangement involving only remuneration described in subparagraph (C). directly or indirectly, overtly or covertly, in cash or in kind. "(C) Remuneration described in this subparagraph is any remuneration consisting of any of the following: "(i) The forgiveness of amounts owed for inaccurate tests or procedures, mistakenly performed tests or procedures, or the correction of minor billing errors. "(ii) The provision of items, devices, or supplies that are used solely to— "(I) collect, transport, process, or store specimens for the entity providing the item, device, or supply, or ''(II) order or communicate the results of tests or procedures for such entity. "(iii) A payment made by an insurer or a self-insured plan to a physician to satisfy a claim, submitted on a fee for service basis, for the furnishing of health services by that physician to an individual who is covered by a policy with the insurer or by the self-insured plan, if— "(I) the health services are not furnished, and the payment is not made, pursuant to a contract or other arrangement between the insurer or the plan and the physician, "(11) the payment is made to the physician on behalf of the covered individual and would otherwise be made directly to such individual, "(III) the amount of the payment is set in advance, does not exceed fair market value, and is not determined in a manner that takes into account directly or indirectiy the volume or value of any referrals, €uid "(IV) the payment meets such other requirements as the Secretary may impose by regulation as needed to protect against program or patient abuse.
 * (B) The term ^remuneration' includes any remuneration,

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