View Full Version : Facility charge and physician office charge

06-04-2009, 01:06 PM
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!

06-04-2009, 01:12 PM
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.

06-04-2009, 01:21 PM
ok but the patient's insurance is charging the patient co-pays for both?

would that be correct?

and thank you for your response!

06-04-2009, 02:31 PM
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.

06-04-2009, 02:43 PM
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.