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Jurisdiction 11 Part B
Payment For Services Provided Under a Contractual Agreement

Palmetto GBA may make payment to an entity (i.e., person, group or facility) enrolled in the Medicare program that submits a claim for services provided by a physician or other person under a contractual arrangement with that entity, regardless of where the service is furnished. The service may be furnished on or off the premises of the entity submitting the bill. The contractual arrangement between the entity and the physician or other person should include the following program integrity safeguards:
  • Joint and several liability is shared between the entity submitting the claim and the person actually furnishing the service, for any Medicare overpayment relating to such claim
  • The person furnishing the service has unrestricted access to claims submitted by then entity for the services provided by that person

 

last updated on 01/01/2012
ver 1.0.51