Jump to content

Medicare and PA owned practice question


Recommended Posts

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

Link to post
Share on other sites
  • Moderator

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

 

  • Like 1
Link to post
Share on other sites
  • 1 month later...

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 by mccabe11
adding information
Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More