AERogers 10 Posted December 15, 2020 Share Posted December 15, 2020 I am in the process of starting my own practice (a PLLC) in NC. Per the NC Medical Board, a PA can own 100% of a practice. Per the AAPA, it's 99%, with each state's rules taken into consideration. I have structured a contract with my supervising MD for 97/3 ownership, but I am having issues now with credentialing for Medicare. The company I've contracted with is telling me I can't own that much of the practice. Can someone provide some insight? If I'm investing 100% financially and will be the only on-site provider, I don't want to hand over 50+% of my business to someone else. There must be a way to get this to work. Thanks, Anita Rogers Quote Link to post Share on other sites
Moderator ventana 3,306 Posted December 18, 2020 Moderator Share Posted December 18, 2020 you need a new billing company, they stink and are dead wrong (and it is not AAPA making decisions it is CMS - and that only applies if you are billing medicare) I had a practice (still around on paper) I owned 99% doc owned 1% medicare guidelines says PA can own 99% State laws sometimes have rules about it, but you have already researched that side tell you billing co to figure it out, or get a new company 1 Quote Link to post Share on other sites
mccabe11 0 Posted February 14 Share Posted February 14 (edited) I'm purchasing a clinic from a former supervising physician. In Colorado, an MD/DO has to own 51% of the company. MD will be "silent partner" (no voting rights) and I will pay him a % of the net billing (3% currently). If you can find a good medical attorney, they should know the ins and outs of the state requirements. I am essentially purchasing a list of patients and goodwiill, as the doc will be keep the name, 400 patients, and all his tangible assets. I plan to purchase used exam tables and pay other providers in the building initially to use their EKG/PFT machines. Hope to share with some meds that I don't go through quickly. Any insight on other dos/don'ts?? I'm most worried about hiring a good MA and front person. I hope to tap into former MAs of mine but not sure they will make the jump. Edited February 14 by mccabe11 adding information Quote Link to post Share on other sites
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