Practice Management

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  • 1.  Per Click PSA's

    Posted 01-23-2024 09:58
    Edited by Joseph Verderaime 01-23-2024 10:03

    When contracting with critical access facilities what  considerations must a practice have related to billing the hospital directly vs payers for professional component work?



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    Joseph Verderaime
    Cheyenne Radiology Group
    Cheyenne CO
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  • 2.  RE: Per Click PSA's

    Posted 01-23-2024 11:06

    It depends on the overall contractual arrangement with the hospital for all payors, but one potential advantage of billing the critical access hospital directly is that CAHs are reimbursed 115 % of the Medicare Physician Fee Schedule amount for professional component services when a physician reassigns billing rights to the CAH.

     

    Thomas W. Greeson

    Partner

    Life Sciences Health Industry Group

    He/Him/His

     

    tgreeson@reedsmith.com

    D: +1 703.641.4242

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