by Plutus Health
Hospital, facility, or institutional billing deals only with the medical billing process, not with medical coding, whereas physician billing includes medical coding.
Plutus Health Inc can provide Facility billing, also known as institutional billing. These claims are primarily billed on behalf of hospitals, Freestanding ERs, Outpatient Drug Rehab Facilities & Ambulatory surgery centers.
Facility billing is submitted on UB04 forms, which need rev codes. The UB-04 is the paper version, and the 837-I form remains the electronic version. “I” stands for the institutional configuration.
Facility billing or Institutional billing deals with claims for procedures or work executed by institutions like nursing facilities, hospitals, several organizations for inpatient and outpatient administrations also includes usage of equipment and supplies, radiology services, laboratory services, and various charges.
Facility coding is based on resources utilized by the facility, unlike professional codes that are based on complexity. There are 81 fields in UB04. Some of them include:
Billing for ER visits by patients cover diagnostic and therapeutic services provided, including:
The billing requirements for outpatient surgical services apply to each outpatient hospital visit for outpatient surgery services, including, but not limited to: