tci Medicare Compliance & Reimbursement - 2013 Issue 7
Clip and Save: Create a Nursing Facility Payment Contract With this Sample Tool
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Article Overview
This article provides a practical sample contract template for arranging payment between a physician practice and a skilled nursing facility. It is aimed at practices that treat nursing facility patients and want a written agreement to support billing workflows, reduce payment delays, and document the parties’ responsibilities. The content also notes that the sample should be customized for the practice and reviewed by a healthcare attorney with Stark knowledge.
Why This Topic Matters
Physician practices that see nursing facility patients can face payment and billing coordination issues, especially when Medicare rules affect who pays for services. A written agreement can help standardize expectations and reduce administrative friction.
What You Will Learn
- Why a written payment agreement may be useful for nursing facility patient encounters
- What general elements a basic physician–skilled nursing facility contract may include
- Why legal review and practice-specific customization are recommended
- How the article frames payment coordination in the context of Medicare-related nursing facility billing
Who Should Read This
- Physicians
- Medical practice administrators
- Billing staff
- Compliance staff
- Healthcare attorneys
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