General Category > General Questions
NY based billing company billing for NJ Provider?
PMRNC:
Since you seem to KNOW more.. Your words, and YOUR compliance plan is better, and YOU have more experience.. ask again how you got confused with this original post regarding states and professional 3rd party registrations vs. S corps? You use the word "confused" a lot.. as in your previous posts. So I just wonder why you bother to ask or state your confusion when you seem to know it all.?
QueenAlicia:
Wow, well. I guess when in doubt consult with an attorney. Seek one that has experience with the medical field. Good luck and after this I need to call to increase my E&O, yikes lol.
PMRNC:
I like to second guess myself.. it's what keeps me fresh.. sharp and alert. so I posed your question to our facebook group and if you are on facebook I would welcome you to view the comments so far: http://www.facebook.com/groups/PMRNC/#!/billerswebsite I guess it's only fair you get more than just my opinion.
OH.. ONE more thing.. In previous posts in this forum you have said you charge a % of collections. You also stated you are in the Florida area. And then .. news flash your husband is a doctor (I assume in Florida also) Do you know that fee splitting in the state of Florida is illegal? You even moved from a state that prohibits fee splitting to another that does:
http://www.medicalbillinglive.com/members/index.php?topic=6950.msg20559#msg20559
Florida Statute:
The basis for the final order appears in F.S. 458.331(1), which sets forth a list of acts or omissions for which the board may take disciplinary action against a physician's license. The list includes 458.331(1)(i), which prohibits "paying or receiving any commission,
bonus, kickback, or rebate, or engaging in any split-fee arrangement in any form whatsoever with a physician, organization, agency, or person, either directly or indirectly, for patients referred to providers of health care goods and services . . ."This is an article From the Florida State Bar in regards to Illegal fee splitting and cites a perfect example.
I have case precedences on this.. but I've given you enough free information to go look up.
And another of your previous posts:
--- Quote ---I am not a coder however if I can get advice on something and get paid for it why not? You don't need to be a certified coder nowadays. Everything is available on line! I already got the information and billed it out!
--- End quote ---
How much more about the law do you know??
PMRNC:
--- Quote ---Good luck and after this I need to call to increase my E&O, yikes lol.
--- End quote ---
Alicia.. I know.. I almost went to pull my policy too!
Christy:
For those of you verifying the dr's codes: how do you know if the doc is performing the service or not if you are off site? I get what galina is saying as far as the dr being responsible to report what he or she is doing....
do you all see the actual medical notes? for me, the doc faxes me a log sheet with dos, cpt and dx codes...unless the codes are bundled or not appropriate for the specialty or s/he asks for my advice, how would you know if the codes were fradulent?
BTW- I am going to add a statement to my billing log where the doc attests and signs that the codes he is providing are accurate and that he performed the services.....
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