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New Restriction on Billing for Anatomic Pathology Services

First few Article Sentences

On June 1, 2011, the State of Washington joined 17 other states in restricting the ability of physicians to purchase anatomic pathology services and re-bill the services to patients and payors. Prior to the enactment of House Bill 1190, which will be codified as a new section added to Chapter 48.43 RCW, state law did not clearly prohibit a physician from purchasing an anatomic pathology service at a discount from a pathology laboratory or other pathology provider, marking up the price of the anatomic pathology service, and re-billing the service to the physician’s patients and their payors. A 2005 Washington Attorney General Opinion raised serious concerns regarding this type of arrangement under the Washington fee splitting laws, but re-billing with a markup for purchased anatomic pathology services continued among many physicians, most commonly including urologists, gastroenterologists, and dermatologists, absent a specific statutory prohibition.


Pine Wood, Jane

 

McDonald Hopkins LLC

Anatomic Pathology

August 1, 2011

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