QUESTIONS / NEW SERVICES
Can we offer this new service?
You want to add imaging, infusions, weight management, behavioral health, physical therapy, or a new location. The business case is clear. The regulatory path often isn't.
WHAT YOU’RE ASKING
Can we add this service, who is allowed to provide it, and what approvals do we need first?
WHY IT MATTERS?
Each license has a scope of practice, and many services require a specific level of supervision. Some services and equipment need facility licensing or, in DC and Virginia, Certificate of Need or COPN approval. If physicians will refer patients to a service the practice owns, federal and state self-referral rules apply, and the arrangement has to fit an exception.
Billing rules, payer contracts and marketing rules also shape how a new service can be offered and promoted.
WHAT WE REVIEW
Scope of practice for each provider involved
Supervision and delegation requirements
Facility licensing, CON and COPN
Self-referral rules for in-office ancillary services
Payer contract terms and billing requirements
Patient consent forms and marketing
WHAT YOU LEAVE WITH
A clear answer on whether and how you can offer the service, the approvals and documents you need, and a sequence for launching it the right way.
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