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Medicare and PA owned practice question

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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.


Anita Rogers

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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


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