Thanks for sharing. Good of Joe to comment. MS

Thanks for sharing. Good of Joe to comment.

MSO models are extremely common and come in a variety of colors and sizes. Having looked at many and participated in a couple, I can attest to the complexity of the process. The most recent one I reviewed had an 80 page MSO agreement which I had to read and have my lawyer review. This came after having reviewed a summary of the deal, a non disclosure agreement read and reviewed by my attorney and a hour long conference call where we got more info and questions answered. From beginning to end took about a month. Then, I fill out and sign the agreement and write a check to invest. That agreement has to be reviewed by the company to make sure you are a qualified investor etc and the funds then have to clear. A week or two later I get my official welcome to the MSO paperwork back. Then the actual work begins. You have to get the process set up to refer to the lab, pharmacy or whatever. Billing and posting of reimbursement has to happen for the services provided by the MSO. Depending on the type of service, insurance company payment and posting takes 3-6 weeks. A fairly lengthy process to start. The biggest obstacle is making it compliant. One of the problems with these arrangements is the return on your investment cannot be tied to the volume of business sent to the MSO by the doctor. They have to make it so everyone gets paid the same amount proportionately based on how much you invest. The idea is simple but the mechanics of the legal part/compliancy is not. Pretty easy after that as you are just doing what you do anyway in caring for patients and collecting ROI checks.