tci Medicare Compliance & Reimbursement - 2006 Issue 31
PHYSICIAN PRACTICES: CMS May Have Evicted You From 'Condo' Laboratories
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Article Overview
This article explains proposed CMS changes discussed in the 2007 physician fee schedule that could affect off-site laboratory joint ventures often used by urology and dermatology practices. It covers the general structure of these arrangements, the kinds of operational and contractual changes being discussed, and why the topic matters for physician practices, billing teams, and practice administrators evaluating compliance and viability.
Why This Topic Matters
Physician practices using off-site laboratory joint ventures need to understand potential CMS policy changes that may affect billing structure, space requirements, contractor relationships, and contract stability. The article is relevant to practices reviewing whether existing arrangements remain practical under proposed federal rules.
What You Will Learn
- How proposed CMS policy changes may affect off-site laboratory arrangements
- What general features characterize pod or condo laboratory joint ventures
- Why physician practices may need to review existing lab contracts and operations
- What broad compliance and operational issues are raised for practice administrators
Who Should Read This
- Physicians in group practice
- Practice administrators
- Medical billing staff
- Compliance personnel
- Healthcare attorneys
- Laboratory consultants
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