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Thread: Physician Billing in a CAH

  1. #1
    Join Date
    Apr 2007
    Concord, NC or Rochester, NY

    Default Physician Billing in a CAH

    AAPC: Back to School
    Can ER/ED physicians bill Medicare Directly when working in a CAH.

    From my research, i believe it depends on the physician contract with the hospital.

    Thanks in advance

    You can email directly at mdoyle53@rochester.rr.com

  2. #2
    Join Date
    Apr 2007
    Watertown New York


    I believe you need to check to see which method of payment the CAH set up with Medicare, either Method 1 or Method 2. We are a Method 1 CAH and we are allowed to bill our physican charges seperately.

  3. #3


    We are a CAH with a Rural health clinic and bill method II. Our providers are employed by the hospital and for medicare patients when a providers sees a patient in the ER we bill the professional charges on the UB with the hospital charges.

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