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  • 1.  Global Billing of Mobile US (not owned by Rad group)

    Posted 08-09-2018 11:22
    Good morning,
      We have been approached by an independent provider of  Mobile US to interpret their studies. The catch is the agreement states that we would bill globally and pay them a fixed fee based on type of exam i.e vascular, abdominal,etc. . We would be entering into a service agreement 

    to manage the technical services, that creates the ability for us to globally bill...   that is my question..is that possible? Our billing company says we have to own the equipment to globally bill. Does anyone have any experience with this sort of arrangement?  Any input would be greatly appreciated.
    Thanks very much,
    Mark



    ------------------------------
    Mark Leggett
    Practice Administrator
    Millennium Medical Imaging, PC
    Albany NY
    (518) 650-7503
    ------------------------------


  • 2.  RE: Global Billing of Mobile US (not owned by Rad group)

    Posted 08-09-2018 11:48
    Mark - I have seen arrangements similar to what you describe where the practice leases the equipment and technologist from the other entity and then bills globally for the services.  In doing so you are accepting responsible for medical oversight to ensure that the equipment is working properly and technologist is qualified and performing the services accurately and appropriately.

    Deborah MacFarlane
    949.378.8308





    Original Message


  • 3.  RE: Global Billing of Mobile US (not owned by Rad group)

    Posted 08-09-2018 11:51

    Deborah,

    Thank you for the reply. This is exactly how I thought it could work.

    Best,

    Mark

     

    Mark Leggett
    Practice Administrator
    Millennium Medical Imaging, PC
    4 Automation Lane, Suite 125
    Albany, NY 12205

    P   518-650-7503   
    C   518-275-7126   
    F   518-275-0945   
    mark.leggett@mmipc.com 
    www.mmipc.com

    Millennium Medical Imaging

     




    Original Message


  • 4.  RE: Global Billing of Mobile US (not owned by Rad group)

    Posted 08-09-2018 11:57
    Mark,
    Deborah is correct - you will, in essence leasing the TC infrastructure thereby making the service part of your practice just as if you "owned" the TC infrastructure - but I highly recommend you obtain the services of an Attorney experienced in these matters to assist you in crafting a solid agreement.  I would be very careful of the "payment methodology being proposed.  First, it is fraught with risk as stated.  Second such an arrangement has to pass the "fair market value" sniff test. Any arrangement will have to be in writing, and not vary by volume or you could be at regulatory risk.  Get a good attorney on this one.

    ------------------------------
    Douglas Smith FRBMA
    President & CEO
    Phase 4 Radiology Business Strategies, LLC
    Canton GA
    770-213-4605
    ------------------------------

    Original Message


  • 5.  RE: Global Billing of Mobile US (not owned by Rad group)

    Posted 08-09-2018 13:49

    In addition, I would recommend that you make sure you are covered through your malpractice carrier. 

     

     

    Wendy Lomers CPA, MBA, FRBMA

     

     

                  Wendy@acclaimrad.com

                        Mobile: 210-365-2108

    www.AcclaimRad.com

     

    Headquarters:

    3206 4th Street
    Longview, TX 75605
    Phone: 903-663-4800
    Fax: 903-663-9018

     

    image003.jpg@01D3D23D.11D90670

     

     




    Original Message


  • 6.  RE: Global Billing of Mobile US (not owned by Rad group)

    Posted 08-09-2018 13:56

    And I am going to add that you need to make certain that you have leases in place at each physician practice where the services are provided. Otherwise you will have issues..... So like Doug stated – get a good attorney that knows this piece of the law....

     

    Keith E. Chew, MHA, CMPE, FRBMA
    C | 217-971-5293  

    18 Hawks Nest | Chatham, Illinois     62629

     




    Original Message


  • 7.  RE: Global Billing of Mobile US (not owned by Rad group)

    Posted 08-10-2018 08:13
    Mark,

    You've gotten great feedback here. I would emphasize that you need to be certain that you have a healthcare attorney familiar with the Stark Law. I am not an attorney, but it sounds to me as if this arrangement could slide into "under arrangement" territory.

    I would want to make sure not only that the arrangement is fair market value, but that the lease portion of the arrangement is fixed. In this situation the arrangement could be problematic if the financial benefit fluctuates with volume of the technical component billing.

    ------------------------------
    Schaeffer Smith
    Administrator
    Comprehensive Radiology Services, PLLC
    Hattiesburg MS
    ------------------------------

    Original Message


  • 8.  RE: Global Billing of Mobile US (not owned by Rad group)

    Posted 08-10-2018 08:20

    Good morning and thank you all for the replies. Your input and expertise has been extremely helpful.

    The per study fee is fixed whether we do 1 or 1000 exams and is based on the type of exam (abdomen, vascular, etc.) and not volume in any way. We will basically be the Med Dir., set protocols, and read. Next step is our attorney to scrutinize the agreement.

    Thanks again everyone.

    Mark

     

    Mark Leggett
    Practice Administrator
    Millennium Medical Imaging, PC
    4 Automation Lane, Suite 125
    Albany, NY 12205

    P   518-650-7503   
    C   518-275-7126   
    F   518-275-0945   
    mark.leggett@mmipc.com 
    www.mmipc.com

    Millennium Medical Imaging

     




    Original Message


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