Part B Insider (Multispecialty) Coding Alert
Get Ready To Revise Contracts
Published on Mon Aug 16, 2004
Many physician employment contracts violate new self-referral regulations, and practices may have to revise them. Even if CMS doesn't go after your practice over the issue, a whistleblower could file a qui tam suit, notes attorney Bob Ramsey. Also, a physician could claim her employment contract is void because it violates the law.
The new regs may give rise to tricky disputes, says attorney William Maruca with Fox Rothschild in Pittsburgh. For example, if a physician group has a new recruit who started work last January with a non-compete clause in place, the hospital may refuse to keep paying the income subsidies to the new doctor because those subsidies are now technically kickbacks.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- Medications:
Separate Botulinum Types For Optimum Reimbursement
Practice loses money with Botox, makes $139 with Myobloc
The Food and Drug Administration may have [...] - Fraud & Abuse:
Income Guarantees For New Recruits Only Guarantee Pain
Wave goodbye to non-compete clauses for new docs
If your practice partnered with a hospital to [...] - Get Ready To Revise Contracts
Many physician employment contracts violate new self-referral regulations, and practices may have to revise them. [...] - Fraud & Abuse:
Stark II Regs Spell Changes For Physician Recruitment Practices
Prepare to bring contracts into compliance
In the past, physicians and hospitals have signed separate "income [...] - Diagnosis Coding:
New ICD-9 Codes Bring Pap Smear Coding Up To Date
Remember fifth digit for 11 new codes
Tired of fumbling for an appropriate code for pap [...] - More New ICD-9 Codes
ICD-9 2005 introduces three new codes for venous embolisms, which offer more specificity than the [...] - Diagnosis Coding:
Specify Type Of Diabetes More Accurately With These Codes
New gastroenterology codes will aid your E/M coding
Diabetes diagnoses have been a complex topic [...] - Part B Insider Coding Coach:
Don't Sacrifice $22 Per Nurse Visit - Know When To Report 99211
Proper documentation is the key to nurse-visit coding
A "nurse-only" visit may seem simple, but many [...] - Physician Notes:
Outpatient Pay Rule Boosts Digital Mammogram Pay
Other preventive screenings also see increased reimbursement
The Centers for Medicare & Medicaid Services unveiled [...]
View All
