Wiki Physician Billing in a CAH

[mdoyle53]

Can ER/ED physicians bill Medicare Directly when working in a CAH.

From my research, i believe it depends on the physician contract with the hospital.

Thanks in advance

Mike
You can email directly at mdoyle53@rochester.rr.com

 

[Nancy Grisanti]

I believe you need to check to see which method of payment the CAH set up with Medicare, either Method 1 or Method 2. We are a Method 1 CAH and we are allowed to bill our physican charges seperately.

 

[ljohns31]

We are a CAH with a Rural health clinic and bill method II. Our providers are employed by the hospital and for medicare patients when a providers sees a patient in the ER we bill the professional charges on the UB with the hospital charges.