Wiki Er facility/dr charges

jgpacheco

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If a doc is employed by a free standing ER facility, should I bill for two different claims? One to reflect the doc charges and then one to reflect Facility charges? Or would it go on just one claim?

Jessica
 
It depends on where you are and what payer you are billing. There are 2 ways to do this and it is usually payer preference.
1st:
Bill one UB-04 and in addition to the codes for the rev code 450 you add codes for the physician visit and any physician procedures with the rev code for professional services.. I think this is 981 but please look it up first.
or
2nd:
Bill a UB-04 for the facility charges and a CMS 1500 for the professional services.
Most payers that I have dealt with recently want two separate claims but I still occaisionally run across those that want only the UB-04.
 
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