Practice Management Committee (PMC)
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OBS Company question
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OBS Company question
Good morning,
My group has been tasked with starting an OBS unit. We are a stand alone corp contracted to staff an ED. For those with experience in this realm, is your OBS unit a legally separate entity owned by the parent company or entirely it’s own corp (complete separate everything)? I’m curious from a legal exposure standpoint what others have done.
Any insight is appreciated!
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5 Replies
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Hi Matthew,
I’m the CMO for Omega and have experience with coding and billing issues around different Obs structures. I’m not really familiar with the liability aspect of the different set ups, though. If I could be helpful, I’d be happy to chat.
Dave
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Good morning – you can do either within the same TIN or in a separate TIN. A separate TIN allows billing for both the ED E&M and the Obs charges. Same TIN, one or the other, not both. A separate TIN is ideal if there is enough volume to support an additional care team, but still may require hospital support for sustainability. If in a separate TIN, some scheduling mechanics have to be set up to ensure a physician that sees a patient in the ED, they are not the following Obs provider. We’ve worked under the separate TIN structure for Obs for >15 years without any issues.
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John,
Thank you so much for your input. In your corporate structure, does your ED group “own” the OBS unit second TIN thereby allowing consolidation of accounting and taxes, board of directors, etc? Or do you have 2 separate corporate structures fully independent of one another?
Matt
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I’m tagging @jthroopecs-wmi-com
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The Obs TIN is a subcorp of our parent company and part of a consolidated tax entity. On paper, there are separate officers for state business purposes, but the ownership, governance, and management are all under one umbrella.
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