Results 1 to 5 of 5

Facility charge and physician office charge

  1. Default Facility charge and physician office charge
    Medical Coding Books
    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!

  2. Default
    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.
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

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

    would that be correct?

    and thank you for your response!

  4. Default
    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.

  5. Default
    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.


Similar Threads

  1. ER facility charge
    By 01051184 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 02-20-2013, 09:56 AM
  2. ER facility charge
    By 01051184 in forum Emergency Department
    Replies: 0
    Last Post: 02-20-2013, 09:00 AM
  3. Facility charge
    By 01074373 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 03-10-2010, 04:56 PM
  4. Facility Charge?
    By mguevarra in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-02-2008, 01:08 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.