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Physician office-surgery facility fee

  1. #1
    Location
    Madison, WI
    Posts
    27
    Default Physician office-surgery facility fee
    Medical Coding Books
    Is anyone out there billing for facility fees on surgeries performed in a physician's office? If so, how are you billing them?

  2. #2
    Location
    Fort Smith, AR
    Posts
    42
    Default
    My previous employer did this. When we charged out a procedure performed in the office the fee would split it into two separate charges. One being physician that would go out on the 1500 claim, the other was for the facility that would go out on the UB. The facility charge was basically for the supplies, equipment, and nurse's time. Hope that helps.


    Darla Sims CPC, CPC-H

  3. #3
    Location
    Madison, WI
    Posts
    27
    Default
    This was done in a clinic setting? As a clinic, we don't use a UB form.

  4. #4
    Location
    Fort Smith, AR
    Posts
    42
    Default
    Yes, but this was under Provider Based billing. That is a specific designation. Maybe this is different situation?


    Darla Sims CPC, CPC-H

  5. #5
    Location
    Madison, WI
    Posts
    27
    Default
    With my situation, our OB/GYN wants to perform what normally would be done in an outpatient facility, in his office, and bill out a facility fee for doing it there. Does that sound similar?

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