tci Medicare Compliance & Reimbursement - 2004 Issue 43

Physicians: Feds Taking Closer Look At Docs' Billing Companies

Here are the danger signs to look for in your contracts.If you're paying your billing company a percentage of the money you receive from Medicare, you could draw a higher percentage of the feds' scrutiny. The HHS Office of Inspector General made clear in its 2005 Work Plan that it plans to examine physicians' arrangements with billing companies. And attorneys say any billing company contracts involving a percentage fee rather than a flat fee will be more likely to rise to the top of the OIG's hit list.  "Certainly the OIG does not like percentage contracts...

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