WASHINGTON -- The Internal Revenue Service is being urged to take into account current billing practices when revising its guidelines that determine whether contracts between hospitals and physicians are private loans that might prevent the tax-exempt financing of hospital facilities and equipment.

Paul G. Gebhard, a lawyer with Jenner & Block in Chicago, told the IRS in a recent letter that the 1982 revenue procedures should be revised to take into account new billing practices between hospitals and private physicians. The practices have evolved over the past decade from changes made to the Medicare program, the federal system that provides medicall insurance to people over 65 years of age.

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