Medicare Trivia Corner: Owner Compensation Profiling

A recent article in LA Times reported that a California Medicaid plan allegedly overpaid its leadership.   Here.  Remark that MediCal (California Medicaid) didn't have clear guidelines.

Medicare has some very intricate guidelines on payments for owners of business that CMS pays by cost based methods.  These include physician owners.  I stumbled on a July 21, 2017 11 page update document on this process.  It's in the "Provider Reimbursement Manual, Part 1, Chapter 9, Compensation of Owners," and categorized as Transmittal 474.   Here.

It's pretty lengthy but one feature is a table for "physician owner compensation," clipped below.  See the link for the full text and context.

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