The current health care trend is for hospitals to take on professional practices or hire specialty hospitalists—in effect creating one-stop health care. Hospitals must now bill for professional as well as technical services. Medicare and some state Medicaid programs pay additionally for physician and some mid-level professional billing. You need to know exactly where and when you can bill these services.
Additionally, hospitals have taken on the burden of managing professional Evaluation and Management coding, which are usually selected by the provider, as well as “split” (technical and professional claims) billing for provider services..
Epoch can help address the challenges of professional and split billing. Let us know how we can help.