Legal billing for pathology services.
Minnesota physicians recently debated whether primary care physicians can legally and ethically "mark up" or add to the fees charged by a pathologist when submitting bills for pathology services to third-party payers. This article explores the relevant federal and state laws and offers the conclusion that both federal and state law allow for such a mark-up if it reflects reasonable compensation for additional work and risk assumed by the primary care provider group.
Glaser
David M
DM
Fredrikson & Byron's Health Law Group, Minneapolis, USA.
Bennett
Katherine J
KJ
D004992:Ethics, Medical; D005251:Fees, Medical / Q000941:ethics / Q000331:legislation & jurisprudence*; D006801:Humans; D006278:Medicare / Q000941:ethics / Q000331:legislation & jurisprudence; D008910:Minnesota; D010337:Pathology Department, Hospital / Q000941:ethics / Q000331:legislation & jurisprudence*; D011320:Primary Health Care / Q000941:ethics / Q000331:legislation & jurisprudence; D012017:Referral and Consultation / Q000941:ethics / Q000331:legislation & jurisprudence*; D012955:Societies, Medical / Q000941:ethics / Q000331:legislation & jurisprudence*