Q:

May an OBS practice contract with an entity that promises to collect a facility fee and a professional fee from third party insurers?

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Yes, but only through open negotiations with the third party insurers. There must be a written agreement between the OBS practice and the negotiating entity. Since the rate has been openly negotiated, billing should be done by the OBS practice, as directed by the insurers. As above, neither the negotiating entity nor a separate entity should be submitting any bills to the insurers.  more
health.state.ny.us
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