Dermatologists in my area sold out to a venture capital company that specializes in buying small practices. (Many of the practices are 1-3 providers.)
Most had no pathology in house. Now they send all there work to an " IOP lab".
The path lab is in a centralized location in another state owed by the practice.
That's a new one on me. Medicare rule makers likely never anticipated this scenario.
The last IOP rules were put out around 2008 to address pod labs. I think this is legal currently.
Btw, it is doing pretty good on their contracts. They fowarded an AZ patient and Texas BCBS approved payments at 4 x medicare.
I can't get 1.25x MC for Arizona BCBS. I have the EOB so this is real.
I guess everything is really bigger in Texas after all.
Most had no pathology in house. Now they send all there work to an " IOP lab".
The path lab is in a centralized location in another state owed by the practice.
That's a new one on me. Medicare rule makers likely never anticipated this scenario.
The last IOP rules were put out around 2008 to address pod labs. I think this is legal currently.
Btw, it is doing pretty good on their contracts. They fowarded an AZ patient and Texas BCBS approved payments at 4 x medicare.
I can't get 1.25x MC for Arizona BCBS. I have the EOB so this is real.
I guess everything is really bigger in Texas after all.