On April 6, 2020, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule in the federal registry, which allows, among other initiatives and changes to existing policy, to provide certain hospital services outside the hospital «after collusion.» The IFC «March 2020» aims to give health care providers greater flexibility in responding to the public health emergency created by COVID-19. This change in the cmS regulatory policy is retroactive to March 1, 2020 and applies only for the duration of notFALL in the public health field COVID-19. In accordance with the March 2020 IFC, a hospital is authorized to charge Medicare for certain benefits that another facility provides to inpatients, even if these services are provided outside the hospital. The medical unit conducts DHS, i.e. hospital sleep studies, and if the physician does not comply with the rural property exception, the agreement is against Stark as of October 1, 2009 for Medicare and Medicaid patients due to the doctor`s possession in the medical unit. The Office of the Inspector General of the Department of Health and Human Services recently released an expert report in which certain types of «collusion» are considered suspicious, which are authorized under Medicare`s anti-kickback status, which prohibits payments to make transfers of patients from the national health program. Let`s start the week with an intense subject – «in agreement.» «after collusion», hospital and outpatient hospital services are billed by the hospital, but are provided by a third party, which is often a medical facility (medical unit). Thus, both the hospital and the medical department that provides human resources equipment and services and perform dhS are «units» to which the transfer to DHS is carried out under this advanced version of Stark. The OIG indicated that the agreement could potentially generate a prohibited compensation under the Status of Medicare-Anti-Kickback if the necessary intention to obtain or reward transfers of operations of federal health programs.