Wiki Help provider based facility billing

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I work for a hospital (they bought out numerous physican offices)that has been approved to do provider based facility billing. We just had a meeting and no one is familiar with this. So I am asking my fellow AAPC members if they have any ideas on how to do this. From what I understand we will bill a regular E&M and also a facility charge. If anyone has any ideas please help.:confused:
Thank you,
Colleen R Cox CPC
 
You will need to bill Medicare Part A and Part B with POS 22. Depending on the state that you are in you may have different option for billing Medicaid. For all other insurance you can bill either way (check with them). You can bill Global with POS 11 or Outpatient Hospital (split billing) with POS 22. We have problems with split billing with some of the insurances. The payment is a little higher but sometime the patient has two copays.
Let me know if I can give you any more information.
Antonella Margison, CPC
 
Thank you

What are the facility codes we will bill? I bill for several specialities and I have never billed any facility billing. So any help would be appreciated. My
email is colleenrcoxmso@hotmail.com. Thank you in advance for your help.:)

Colleen R Cox CPC
 
Colleen,
You will need the UB04 manual and it will help alot. Facilities do not use place of service codes, they use revenue codes. Also you need to know your bill types. Most of this is explained in the manual. I will send to your e-mail.
 
Thank you

Debra,
Thank you so much. I see you on the forum a lot helping everyone. I just printed out all the information and plan to take it home with me. I have until April to figure it out. Once again thank you for all your help.

Colleen R Cox CPC :)
 
mitchellde said:
Colleen,
You will need the UB04 manual and it will help alot. Facilities do not use place of service codes, they use revenue codes. Also you need to know your bill types. Most of this is explained in the manual. I will send to your e-mail.
Click to expand...
Hello Debra,

Could you please send the UB04 Manual information to me via email as well. Our coding department needs additional resources on split billing.

I would greatly appreciate it!
Thanking you in advance,
Dolores McKenzie, CPC

Dolores.McKenzie@monroeclinic.org
 
Help from Texas:)

Hi:

This thread is from 2012. One of my providers recently opened a clinic (partnered with the local hospital) so this is a hospital-based clinic.....I am not sure on the provider (prof services side) billing.

If anyone can help, please send info and note any resources I can use/buy/loo-up, etc...?

Thanks! :D
 
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