Medical Billing Forum
General Category => General Questions => : RNmommy August 23, 2012, 01:28:32 AM
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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.
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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.