decisionhealth Newsletters, decisionhealth - 2010 Issue 2 (February)
Ask Devona: Who should pay for facility fees?
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Article Overview
This article addresses a common reimbursement question about facility fees, office-based procedures, and related charges for supplies and drugs. It is aimed at physician office billing and coding staff, practice managers, and revenue cycle professionals who need a general understanding of how these topics are treated in different care settings and why payer contract terms matter. The discussion focuses on broad billing considerations and mentions HCPCS reporting without providing detailed coding instructions.
Why This Topic Matters
Understanding the distinction between facility-based billing and physician office billing helps practices avoid inappropriate charges and support cleaner payer contracting and claims submission.
What You Will Learn
- The difference between facility-based settings and physician office settings for fee billing
- How supplies and drugs are treated in office-based procedure billing at a high level
- Why payer contracts can affect whether certain charges are handled separately
- Where HCPCS reporting may be relevant in broad terms
Who Should Read This
- Physician office billers
- Coding professionals
- Practice managers
- Revenue cycle staff
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