Practice Management Alert

Setting up a plan with each facility before rendering services will make your job easier and keep payments rolling in.

To receive payment for the technical aspects of diagnostic services your physician performs on nursing facility (NF) patients, you may need to have a set contract with the facility as mentioned in "Set Up a Solid Contract With Nursing Facilities to Ensure You Get Paid Every Time."

Starting with a one-page contract such as this one can ease the consolidated billing issues you face.

Remember: There are additional details you'll want to add to this sample contract to make it specific for your needs, and you should have a competent healthcare attorney with Stark knowledge review the contract.

Date:

This letter serves to document an agreement between me, John Doe, MD, and XYZ Skilled Nursing Facility.

At your request, I may provide medically appropriate services to patients from your facility who are classified by the Medicare program as under skilled nursing facility care. Following evaluation and treatment, my office will send an invoice directly to your facility for reimbursement of the medical care services I have provided, at your request, to these patients. Payment will be expected regardless of your facility's reimbursement status with Medicare.

Payment should be mailed directly to the address below within 10 days following receipt of my invoice.

Provider tax ID number:

Please send payment to:

Billing Office Address

City, State, ZIP code

Signatures by both parties below acknowledge and consent to the above agreement.

Signature of Physician and Date _____________________

Signature of SNF and Date_____________________