Practice Management

Is anyone familiar with global billing by critical access hospitals?  I have some questions about how it works from the hospitals perspective:

1.  If the hospital is paying the radiologist for remote reads on Medicare patients, are there any special rules that apply?  I'm thinking along the lines of anti-markup rules that would apply if the billing entity was a physician practice.
2.   If the radiologist is sitting in a different payor locality, would they have to report the location where the radiologist is sitting to Medicare?  If that other locality is in a different state, would the CAH have to enroll in that state?

Thanks for any insight you can offer!

Dave

------------------------------
David Smith FACMPE
Executive Director
United Imaging Consultants
Mission KS
------------------------------

Original Message:
Sent: 4/28/2021 9:05:00 AM
From: David Smith
Subject: Critical Access Hospital Billing Globally

Is anyone familiar with global billing by critical access hospitals?  I have some questions about how it works from the hospitals perspective:

1.  If the hospital is paying the radiologist for remote reads on Medicare patients, are there any special rules that apply?  I'm thinking along the lines of anti-markup rules that would apply if the billing entity was a physician practice.
2.   If the radiologist is sitting in a different payor locality, would they have to report the location where the radiologist is sitting to Medicare?  If that other locality is in a different state, would the CAH have to enroll in that state?

Thanks for any insight you can offer!

Dave

------------------------------
David Smith FACMPE
Executive Director
United Imaging Consultants
Mission KS
------------------------------

Original Message:
Sent: 4/28/2021 9:05:00 AM
From: David Smith
Subject: Critical Access Hospital Billing Globally

Is anyone familiar with global billing by critical access hospitals?  I have some questions about how it works from the hospitals perspective:

1.  If the hospital is paying the radiologist for remote reads on Medicare patients, are there any special rules that apply?  I'm thinking along the lines of anti-markup rules that would apply if the billing entity was a physician practice.
2.   If the radiologist is sitting in a different payor locality, would they have to report the location where the radiologist is sitting to Medicare?  If that other locality is in a different state, would the CAH have to enroll in that state?

Thanks for any insight you can offer!

Dave

------------------------------
David Smith FACMPE
Executive Director
United Imaging Consultants
Mission KS
------------------------------