decisionhealth Newsletters, Part B News - 2005 Issue 1 (January)
Eased reassignment rules give you billing freedom, but a separate rule could take it away
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Article Overview
This article discusses Medicare billing and reassignment policy changes affecting group practices that contract with independent physicians and other practitioners. It focuses on the interaction between reassignment flexibility under the Medicare Modernization Act and separate compliance considerations under physician self-referral rules. The piece is aimed at physicians, group practices, radiology entities, and billing professionals who need to understand how contractual billing arrangements fit within broader Medicare requirements.
Why This Topic Matters
Understanding this topic helps practices evaluate whether reassignment and contractor billing arrangements are permissible under Medicare without creating problems under separate self-referral rules. It is especially relevant for organizations using off-site or contracted clinicians in imaging and other service arrangements.
What You Will Learn
- How Medicare reassignment policy changes affect contracted physician billing arrangements
- How separate physician self-referral rules can still affect group practice billing freedom
- Which kinds of group practice and contractor arrangements are discussed in relation to Medicare compliance
- How the article frames the relationship between reassignment policy and broader billing safeguards
Who Should Read This
- Physicians
- Group practice administrators
- Medical billers and coders
- Compliance officers
- Healthcare attorneys
- Radiology practices
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