When a claim is received from a hospital for clinic charges, there is often a room charge for the use of the facility and a separate physician charge. Which of the following is considered an appropriate handling procedure for such charges?
a. Always submit the claim to a claims examiner first.
b. CPT® services are coded separately and subject to usual, customary, and reasonable (UCR) fees.
c. If a hospital is billing for professional component charges separately from the actual lab or x-ray charges, make sure to keep them separate.
d. If coded separately, the charge for physician treatment charges (professional fees) is not usually subject to UCR.
B
Health Professions