Medical Billing Forum

General Category => General Questions => Topic started by: RNmommy on August 22, 2012, 10:28:32 PM

Title: co pay - facility or physician collected?
Post by: RNmommy on August 22, 2012, 10:28:32 PM
In the HBOPWC (Hospital Based Outpatient Wound Center - functions as an outpatient free-standing center) where the MDs are not employees of the hospital, who collects the co-pay? The MD providing the service or the facility? I have searched around for an answer but haven't found one. Thoughts and advice, or a site to look up the answer myself,  would be appreciated. Thank you.
Title: Re: co pay - facility or physician collected?
Post by: Michele on August 23, 2012, 06:57:54 AM
If the MD's are billing separately, under their own EIN & NPI then they would collect the copay for the professional services.  If the patient has a copay for the facility portion of the claim, then the facility would have to collect that.  For example, if I go to ER I have a copay for the ER.  Then the physician bills my insurance separate from the hospital.  I owe them separately.