- Joined
- Apr 11, 2008
- Messages
- 451
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- 90
So, we all know about client billing for clinical laboratory testing and the controversies with it.
My impression was always a client physician is billed by the laboratory for a base fee and then marks up the laboratory costs to the insurer for profit sometimes exponentially.
Great no big deal, its business right.
Well, what about a this: A hospital with outpatient clinics client billing for their employee physicians who are salaried? Is that legal? Given the hospital has contracted rates with an insurer can the hospital do this?
I wouldn't think so, thus I ask your opinion. Its a sorta grey area, I don't think it won't get CMS involved since you can't client bill Medicare/Medicaid.
Maybe this is all just first world problems?
My impression was always a client physician is billed by the laboratory for a base fee and then marks up the laboratory costs to the insurer for profit sometimes exponentially.
Great no big deal, its business right.
Well, what about a this: A hospital with outpatient clinics client billing for their employee physicians who are salaried? Is that legal? Given the hospital has contracted rates with an insurer can the hospital do this?
I wouldn't think so, thus I ask your opinion. Its a sorta grey area, I don't think it won't get CMS involved since you can't client bill Medicare/Medicaid.
Maybe this is all just first world problems?