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Facility charge and physician office charge

cvzzz

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If anyone can clarify this for me i would appreciate it. I work for orthopaedic surgeons and one of them sees patient's at a hospital facility. The patient's are being charged our physician fee and a facility charge by the hospital.

Is this correct?

Thank you!
 

ciphermed

Guru
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Yes, that's correct depending on the circumstances.
Hospital bills for facility while physician bills for professional
versus the hospital billing globally (facility & professional)
which I think is also a possibility depending on the
billing arrangements.
 

cvzzz

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ok but the patient's insurance is charging the patient co-pays for both?

would that be correct?

and thank you for your response!
 

donsqueen

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Did you bill the physician fee as inpatient? It really depends on the patient's insurance policy. There very well may be a separate copay for inpatient professional services, but most policies that I have seen apply an inpatient copay.
 

cvzzz

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Yes I believe we do charge inpatient because we do not pay rent at that facility. I am just trying to figure out what is the correct way to do this so that our patient's do not get billed twice.

I hope this makes sense.

Just let me know.

Thanks!
 
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