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Are there any fee-splitting considerations for licensed providers?

For licensed providers (RN, NP, MD, DO): how partner service fees are structured, and where to take state-specific fee-splitting questions.

If you hold a clinical license and have questions about how partner earnings interact with fee-splitting and related rules, here's an overview of how the model is structured:

  • Your service fee comes from your client, for facilitating access to services or for your own non-clinical services: coaching, guidance, accountability, and support across nutrition, exercise, and mindfulness. Altro processes the payment and passes your fee through to you.

  • You can choose whether to set a service fee and at what rate. You may choose to not charge a service fee.

  • No clinician or medical group pays you or is paid by you.

  • Prescribing is entirely separate. Independent clinicians make every medical decision on their own professional judgment. You don't use your clinical license in this role.

  • These are cash-pay wellness services. They aren't billed to insurance, Medicare, or Medicaid.

Fee-splitting, anti-kickback, and corporate-practice-of-medicine rules vary by state and depend on your specific license and situation. We're not able to give you legal advice about your individual circumstances, so if you hold a clinical license we recommend reviewing your arrangement with your own legal or compliance advisor.

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