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Thread: Facility charge and physician office charge

  1. #1

    Default Facility charge and physician office charge

    AAPC: Back to School
    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. #2


    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. #3


    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. #4


    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. #5


    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.


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