Author Topic: Residential Treatment Facility  (Read 1073 times)

Jdmontee

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Residential Treatment Facility
« on: December 17, 2009, 02:54:47 PM »
I have a question regarding billing for a substance abuse facility.  This facility is out of network with all insurances and only bills insurance as a convenience to the family.  The facility is paid up front from the patient. All insurance payments go directly to family. All patients are seen on an outpatient basis, no overnight stays.  Question is:  therapists and doctors come into the facility to provide services such as med management and therapy sessions etc. These doctors are paid by the facility for their services. When filing to an insurance company for reimbursement for the family does the doctor/therapist name go in the referring provider box or as the actual provider?  From what I am understanding since the doctors/therapist are paid by the facility they would not want the doctors to get a 1099 from the insurance companies at years end.  Or would they since the payment is going to the family???  I think I am confusing myself more but I need some help here! :)

Thanks!

Joanne

Michele

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Re: Residential Treatment Facility
« Reply #1 on: December 17, 2009, 08:12:57 PM »
They should not go in the referring provider, but the provider who oversees all of the patients care should go in the rendering provider section on the form.  By putting them in the rendering provider the payment would still go to the patient so the provider would not receive a 1099.

Michele
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Jdmontee

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Re: Residential Treatment Facility
« Reply #2 on: December 17, 2009, 08:21:09 PM »
That's what I thought to begin with...was over thinking it I suppose as the facility was up in arms about the provider possibly getting a 1099.   :D

Thanks for the quick response!

Joanne