Hospitals

Physician Payments at HOPD
For many services, Medicare has different
payment rates to physicians based on the site of
service
• “Office” or “Non-Facility”
• Physician payment higher
• Physician responsible for rent, other practice
expenses
• “HOPD” or “Facility” or “Provider-Based”
• Physician payment lower – (fewer expenses)
• Hospital can submit a separate bill for facility costs
• Total payment (physician + hospital) higher
2012 AAMC Annual Meeting