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Explaining MD charge + Facility charge for same visit

  1. Default Explaining MD charge + Facility charge for same visit
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    Good Morning.

    Does anyone have a good stock explanation for patients as to why they are getting an E&M charge from the MD and the same E&M charge from the facility?

    Thank you!

    Bernadette

  2. #2
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    Columbia, MO
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    the physician E&M represents the work of the physician only. The facility E&M represents the use of the facility space personnel and equipment. If this same service were rendered in a freestanding physician owned clinic, there would be one E&M but the charge would be higher to represent both components. The facility E&M in your example does match the physician level however that is not a requirement.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Thanks, Debra! That's perfect.

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