Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 5 § 90.4
Group Practice Defined
90.4 - Group Practice Defined
(Rev. 1, 09-11-02)
A group practice is a group of two or more physicians and non-physician practitioners
legally organized in a partnership, professional corporation, foundation, not-for-profit
corporation, faculty practice plan, or similar association:
•
In which each physician who is a member of the group provides substantially the
full range of services which the physician routinely provides (including medical
care, consultation, diagnosis, or treatment) through the joint use of shared office
space, facilities, equipment, and personnel;
•
For which substantially all of the services of the physicians who are members of
the group are provided through the group and are billed in the name of the group
and amounts so received are treated as receipts of the group;
•
In which the overhead expenses of and the income from the practice are
distributed in accordance with methods previously determined by members of the
group; and
•
Which meets such other standards as the Secretary may impose by regulation to
implement §1877(h)(4) of the Social Security Act. The group practice definition
also applies to health care practitioners.