Every hospital I've been to had a Part A built into our contract. I even know some hospitals that don't pay subcontracted groups any Part A at all. If that were the case, or if the group declined to accept a Part A because they felt it was too low, could they forego accepting it and directly bill insurers for CP or would that be considered double dipping?
That's actually pretty good. Now come see the "real" America where all you've got is a Dollar General...
As I said above, part A refers to medicare. In my old practice we got part A and billed CP26 (private insurance), It would only be condidered "double dipping" if your part A was twice as high as the medicare calculation.Before negotiating a new contract, a group should do a part A time study for a few months and document all your time spent on part A activities. Hypothetically lets say you are a 7 person, two hospital practice. After months of time studies, you determine that you part A is equivalent to 2.2 fte's. Multiply that times median pathologist income, lets say 400K. That gives you 880K part A income. Multiply that times your medicare census, lets say 50%. So the number to ask for would be 440K. This would be reasonable and stand up to scrutiny.