• Revenue Cycle Management
  • COVID-19
  • Reimbursement
  • Diabetes Awareness Month
  • Risk Management
  • Patient Retention
  • Staffing
  • Medical Economics® 100th Anniversary
  • Coding and documentation
  • Business of Endocrinology
  • Telehealth
  • Physicians Financial News
  • Cybersecurity
  • Cardiovascular Clinical Consult
  • Locum Tenens, brought to you by LocumLife®
  • Weight Management
  • Business of Women's Health
  • Practice Efficiency
  • Finance and Wealth
  • EHRs
  • Remote Patient Monitoring
  • Sponsored Webinars
  • Medical Technology
  • Billing and collections
  • Acute Pain Management
  • Exclusive Content
  • Value-based Care
  • Business of Pediatrics
  • Concierge Medicine 2.0 by Castle Connolly Private Health Partners
  • Practice Growth
  • Concierge Medicine
  • Business of Cardiology
  • Implementing the Topcon Ocular Telehealth Platform
  • Malpractice
  • Influenza
  • Sexual Health
  • Chronic Conditions
  • Technology
  • Legal and Policy
  • Money
  • Opinion
  • Vaccines
  • Practice Management
  • Patient Relations
  • Careers

Practicing in two states: Consult Medicare on office location


Beginning a full-time, house-call geriatric practice in one state while living in another creates a payment dilemma.

Moving to the state where I will be practicing is not an option. Do I have to switch management companies to one that is in the state where I render services? Or can I rent space from an assisted-living facility where I will be seeing patients? Do I have any other options?

A: Your dilemma is tricky to say the least. Unfortunately, there's no "magic bullet" answer. As you noted, there is very little information from Medicare on this subject. Although Medicaid makes provisions for providers who live close to the border, I have never heard of Medicare doing so. It appears that you are ahead of the rule-making body, because Medicare still requires practitioners to have a physical business location in each state they service. The space rental option might be feasible, but you need to discuss it with a Medicare supervisor to see whether such an arrangement qualifies.

Answers to readers' questions were provided by Thomas J. Ferkovic, RPh, MS, managing director, SS&G Healthcare Services LLC, Akron, Ohio. Send your practice management questions to medec@advanstar.com

Also engage at http://www.twitter.com/MedEconomics and http://www.facebook.com/MedicalEconomics

Related Videos
© National Institute for Occupational Safety and Health
© drsampsondavis.com