decisionhealth Newsletters, Part B News - 2003 Issue 10 (October)
Contracted physician allowed by Medicare; brush up on the rules
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Article Overview
This premium article covers Medicare requirements for contracting with an outside physician to perform and interpret services within a practice, along with the related enrollment and reassignment paperwork. It is relevant to physician practices, billing staff, compliance teams, and healthcare attorneys who need a high-level understanding of Medicare contractor arrangements, manual guidance, and documentation obligations.
Why This Topic Matters
Practices that use outside physicians must understand the Medicare enrollment, reassignment, and location requirements tied to these arrangements to avoid billing and compliance problems. The article also addresses how these arrangements interact with practice billing workflow and contract changes.
What You Will Learn
- The Medicare framework for using an outside physician in a practice setting
- How reassignment and enrollment paperwork relates to contracted physician arrangements
- General compliance issues raised by independent contractor relationships
- How contract changes affect Medicare form resubmission requirements
- The billing and documentation topics associated with these arrangements
Who Should Read This
- Physician practices
- Billing and coding professionals
- Compliance staff
- Healthcare attorneys
- Practice administrators
Codes Discussed
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