Results 1 to 4 of 4

Thread: Charging facility fees

  1. #1
    Join Date
    Apr 2007
    Location
    Kalamazoo MI
    Posts
    35

    Question Charging facility fees

    Promo: Code Books
    Hello all fellow coders,

    we have a dispute here in my office as to wheither we can charge a facitliy fee or not. We work in an outpatient hospital setting and the three of us coders feel we can charge a facilty fee when the patient comes in for and E/M and has labs or imaging done on the same day. However we are being told we can't even if we append the modifer 25.

  2. #2
    Join Date
    Apr 2007
    Location
    Missoula,MT
    Posts
    90

    Default

    I think there is more at stake here. Are you licensed as a provider based clinic? Are you Critical Access (CAH)? I think we need more details on this. In some cases yes you can, and in others you cannot at all.

  3. #3
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,170

    Default

    Quote Originally Posted by JMGEYER View Post
    Hello all fellow coders,

    we have a dispute here in my office as to wheither we can charge a facitliy fee or not. We work in an outpatient hospital setting and the three of us coders feel we can charge a facilty fee when the patient comes in for and E/M and has labs or imaging done on the same day. However we are being told we can't even if we append the modifer 25.
    the hospital E&M is the facility charge. If the patient comes in just for labs then you have performed no function beyond what they were suppose to receive so there is no facility E&M. If they come to the clinic to see the physician and are then sent to the lab you may charge a facility E&M and the lab. Who is saying you cannot do this?

    Debra A. Mitchell, MSPH, CPC-H

  4. #4

    Default

    Who are you - Are you a physician or hospital. If you are providing technical services, you absolutely can bill, but if you are professional(physician), than obviously, you cannot

Similar Threads

  1. Charging less than Medicare current fees?
    By Bran19 in forum Compliance General Discussion
    Replies: 2
    Last Post: 03-05-2015, 12:25 PM
  2. Facility and provider Fees
    By CMBA4 in forum Plastic Surgery
    Replies: 0
    Last Post: 03-11-2013, 07:07 PM
  3. Charging admin fees
    By lserr in forum Family Practice
    Replies: 1
    Last Post: 07-19-2011, 06:47 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?

Login

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.