CMS Manual System One-Time Notification

March 19, 2004 CMS Manual System One-Time Notification The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA 2003)(Public Law 108-173) altered the hospital and rural provider ownership exceptions to the physician self-referral prohibition. Prior to MMA 2003, the "whole hospital" exception allowed physicians to refer Medicare patients to a hospital in which they had ownership/investment interests, as long as the physicians were authorized to perform services at the hospital and their ownership or investment interests were in the hospital itself and not a subdivision of the hospital. Section 507 of MMA 2003 added . . .