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Hospital Billing vs Physician Billing

  1. #1
    Default Hospital Billing vs Physician Billing
    Medical Coding Books
    I have been billing for physician billing for over 20 years (multiple specialties).
    Can someone please give me a run down on the Hospital billing criteria?
    Such as: In Patient Billing - DRG - Group Codes
    Revenue Codes?
    Out patient facility billing - Are these services billed with CPT codes
    also? (radiology, labs, etc)

    Ambulatory Surgery for facility? - Is this service also billed with CPT
    codes? (same as physician)

    I'm hoping someone can explain the basic differences between hospital & physician billing. Thank you in advance for your input!

  2. #2
    Hi Deb,

    You should check out " Principles of Healthcare Reimbursement." The book explains a bunch of different payment systems in facility setting.

  3. #3
    Thank you so much for the info. I will check it out!

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