Frequently Asked Questions

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FAQ

Please provide some examples of organizations, providers, or other entities that are NOT “physician organizations” as defined at 42 C.F.R. §411.351.

The following are examples of organizations, providers, or other entities that are NOT physician organizations. This list is illustrative, not exclusive:

  • Hospitals and other Part A providers of services
  • Federally qualified health centers
  • A single legal entity (that does not satisfy the requirements of a group practice for purposes of §411.352) that encompasses (that is, operates) a faculty practice plan AND either a medical school or hospital, or both
  • A medical school that does not operate a faculty practice plan but employs physicians to provide clinical and academic services

(FAQ12314)

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