I have always worked in physician billing, and coded/billed for the professional services. Ive had a project given to me that involves hospital coding, of which I have no experience.
We have a "Specialty Clinic" at the Hospital where the specialists see their patients, they also do infusion/chemo services there, and minor procedures.
Our billing office, has always done the professional billing, but is considering taking on the hopital services as well....its a wierd relationship, so we wont go there...
I just need someone to give me the basics of how hospital coding/billing works in these cases...the doctor bills the e/m and procedure...the hospital bills a room/facility charge??? For nursing care?? Does anyone know about the "point system" that is used for nursing care to assign a level of care??
Or say a patient comes to this out patient clinic and sees a dermatologist who charges 99204-25 and 11426....what would the hospital charge???
Anything would be helpful here!
any links to educational info would be great as well!!
Thank you!
We have a "Specialty Clinic" at the Hospital where the specialists see their patients, they also do infusion/chemo services there, and minor procedures.
Our billing office, has always done the professional billing, but is considering taking on the hopital services as well....its a wierd relationship, so we wont go there...
I just need someone to give me the basics of how hospital coding/billing works in these cases...the doctor bills the e/m and procedure...the hospital bills a room/facility charge??? For nursing care?? Does anyone know about the "point system" that is used for nursing care to assign a level of care??
Or say a patient comes to this out patient clinic and sees a dermatologist who charges 99204-25 and 11426....what would the hospital charge???
Anything would be helpful here!
any links to educational info would be great as well!!
Thank you!
Last edited: