Physician Practice Across State Lines: Multistate Compact

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Understanding “Compact” For Multistate Practices—The Nuances & Requirements


In a world where healthcare facilities are operated by multinational companies across multiple time zones, it seems old fashioned that physicians and licensed professionals have limited capability to conduct a medical practice even in neighboring states. With an increasingly mobile population that is interconnected by social media, it is inevitable that doctors should be able to see patients wherever they work or live. Multistate practice authority is even more critical for those engaged in telemedicine.

Traditionally, each state sets its own licensing and other standards for medical practices within its borders. Being approved in state A though doesn’t necessarily extend to other states, where the approval process must begin again. However, approximately 1/3 of U.S. states in the middle of the country have agreed through a “compact” to provide a coordinated and more streamlined approval process to enable a true multistate practice. Providers need to be aware of the nuances and requirements of the compact. It is also possible to establish a practice in multiple states through a single corporation or limited liability company, but there are regulatory hurdles associated with that option as well.

This session by industry veteran Wayne J. Miller, Esq., will discuss the details regarding the new compact and how it may encourage greater multistate medical practices. The session will also address how PCs and LLCs as well as telemedicine providers cross state lines legally. It will also address some of the unique issues faced by multistate practices, including use of physician extenders, contracting, payor issues, standard of practice requirements and multistate insurance obligations.

Session Highlights

  • Licensing and other regulatory hurdles to multistate medical practice
  • States participating in the new compact to ease expansion headaches
  • How it works and who qualifies?
  • PCs and LLCs: how they cross state lines?
  • Impact on physician extenders and technical staff
  • Employment, vendor contracts: how to use in multiple states
  • Special issues: getting paid, telehealth, standard of practice, insurance

Session Agenda

  • Possible approaches to go multistate
  • Forming new Multispecialty Medical Groups (MMGs)
  • Group definition under Stark Law
  • Multistate operational issues
  • Extending to multiple states
  • How the interstate compact helps
  • MD qualifications
  • Multistate compact
  • Nurse compact and contrasting compact
  • Multistate practice via telehealth
  • Telehealth standards
  • Commercial message visits
  • Service supervision under Medicare

Who Should Attend?

  • Physicians
  • Physician groups
  • Physician office management
  • Health care facilities
  • Billers and coders
  • Health care consultants

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About Our Speaker

Wayne J. Miller - Healthcare Compliance Expert

Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...   More Info
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