decisionhealth Newsletters, Answer Books - 2008 Issue 5 (May)
Answer_Book / Surgery_Standby_Services / SURGERY_standby
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Article Overview
This short article covers Medicare treatment of physician standby surgical standby services and the related billing implications for hospitals, physicians, and patients. It is relevant to surgeons, facility billing staff, and coding professionals who need a general understanding of how these services are handled under Medicare policy and why hospital-versus-physician payment questions may arise.
Why This Topic Matters
Understanding the Medicare policy surrounding standby surgical services helps avoid inappropriate billing to Medicare or patients and clarifies that any facility payment arrangement is separate from Medicare Part B payment.
What You Will Learn
- How Medicare characterizes surgical standby services
- Why these services are not treated as physician professional services under Medicare Part B
- Why billing responsibility between the physician and hospital is a separate facility agreement
- What general policy context applies to patient billing for standby time
Who Should Read This
- Surgeons
- Physician billing staff
- Hospital billing staff
- Medical coders
- Revenue cycle professionals
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