Ill. Admin. Code tit. 89, § 140.410 - Physicians' Services
a)
Payment shall be made only to physicians licensed to practice medicine in all
its branches.
b) The restrictions
and limitations which shall apply to physician participation include the
following:
1) Interns are not eligible to
participate;
2) Residents are
eligible to participate where, by terms of their contract with the hospital,
they are permitted to and do bill private patients and collect and retain the
payments received for their services;
3) Hospital based specialists who are
salaried, with the cost of their services included in the hospital
reimbursement costs, are eligible to participate when their contractual
arrangment with the hospital provides for them to make their own charges for
professional services and they do, in fact, bill private patients and collect
and retain payments made;
4)
Physicians holding non-teaching administrative or staff positions in hospitals
and/or medical schools are eligible to participate to the extent that they
maintain a private practice and bill private patients and collect and retain
payments made; and
5) Teaching
physicians who provide direct patient care are eligible to participate if the
salaries paid them by hospitals or other institutions do not include a
component for treatment services.
Notes
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