Rate and how it is calculated
Hourly, daily or per-case? Is there a minimum, and what happens when cases are cancelled? How are call, overtime and late finishes paid?
Who bills for your services
This is the clause most people skip. Either the facility or group bills and pays you a rate, or you (or your group) bill payers directly. If someone else bills Medicare for your work, you may need to reassign benefits to them, and you should know how your services are coded and what is collected.
Malpractice cover
Who provides it, what limits, and whether you need tail coverage when the contract ends.
Term, notice and non-competes
How either side can end the contract, and any restrictions on working for the facility or nearby facilities afterwards. Non-compete rules vary by state.
Payment terms
When you are paid, how disputes are handled, and whether payment depends on the facility being paid first.
Indemnity and insurance
Who is responsible if something goes wrong, and what insurance each side must carry.
See also: W-2 vs 1099 for CRNAs and starting your own group.
This article is general information, not billing, legal or tax advice. Payer rules change; always check current guidance.
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