CSA is asking members to provide documentation that will demonstrate to the DMC staff that this is a common occurrence. Submit a written protest to the IPA or medical group if proper payment is not forthcoming. Submit a written protest to the responsible health plan after the IPA or medical group has refused proper payment or ignored your protest. The Department is asking for documentation that the above procedure has been completed, without proper payment. CSA legal counsel believes that health plans cannot avoid responsibility for reasonable fees by saying that the IPA or medical group is responsible, if no contract was in effect with the anesthesiologists providing care.
Health plans are responsible for assuring that contracts are in place.
Please contact CSA Legal Counsel David Willett directly if you have completed and documented the above procedure and have not received proper payment. In order to maximize participation on the Board, Dr. Sullivan vacated his position as IPP and remains on the Board in his capacity as ASA Director. In accordance with CSA Bylaws, CSA Past President Dr. Richard Fogdall has agreed to fill the vacant IPP position. CSA will now go forward the stronger for his presence in what promises to be a challenging year ahead. The CSA continues in its efforts to get information to all members as rapidly as possible.