BC Advantage - 2018 Issue 6

Provider-Based Facilities and Split Billing Is Your Facility Being Reimbursed for All Work Performed?

Are you stumped by billing guidelines for provider-based facilities? Who bills for what and why? Read on to hear how a little extra time and effort spent on researching split billing coding guidelines can greatly impact your facility, and even your budget ensuring reimbursement for all services performed. For those unfamiliar with provider-based departments, the provider-based designation was implemented by CMS offering the beneficiary important potential benefits such as increased beneficiary access and improvement in the quality of patient care by acknowledging the ownership and integration of the facility with a hospital system. This allows for facilities to bill...

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