Article
As of January 4, the final Stark II rules became effective. These federalregulations will have a profound effect on the relationship between urologypractices and the Medicare and Medicaid programs. Their impact extends farbeyond lithotripsy, which has been the primary concern of many urologists,to virtually every aspect of their practices. Practices that have not conformedto the requirements of these new regulations are exposed to financial penaltiesand other severe sanctions.