Author Topic: HOPPS Billing & Coding for Facilities  (Read 1847 times)


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HOPPS Billing & Coding for Facilities
« on: May 06, 2008, 10:56:45 AM »
I am researching the specific guidelines for facility coding. My client has Independent Wound Care Clinics in hospitals presently in several sates on the East Coast. They rent the space from the hospitals.
What are the CMS mandated guidelines for facility coding/billing and how is it calculated.
Karen, New York


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Re: HOPPS Billing & Coding for Facilities
« Reply #1 on: May 06, 2008, 01:21:03 PM »
Hi Karen,
    I'm not quite sure I understand your question.  As long as the wound care clinics are credentialed with Medicare & other insurance carriers as a facility then they must have met the requirements set forth.  Then charges would be billed out as facility charges as applicable.  Medicare and Different insurance carriers have set fee schedules that outline what is allowable.  Billing would be dependent upon what carrier the claim is for. 

If I missed the question, please respond to this post with a deeper explanation.

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