The billing process for services rendered in a hospital department or location.
Provider Based Billing refers to the billing process for services rendered in a hospital department or location. This process takes place when the hospital owns or leases space and employs physicians and other support personnel who are involved in patient care. Medicare and Medicaid have designated specific rules and requirements for Provider Based Billing which we follow. Provider-based billing and the information contained on this page pertain to Medicare patients only. Some Medicare patients may be covered by their supplemental insurance and will not have to pay more out-of-pocket. Depending on their particular insurance coverage, it is possible benefits may differ for certain outpatient services and procedures at a provider-based, hospital outpatient location. Medicare and Medicaid have distinct payment programs for Provider Based Billing. With the implementation of Provider Based Billing for our physician clinics, Mary Rutan Hospital is required to follow the above described billing structure. This process takes place when the hospital owns or leases space and employs physicians and other support personnel who are involved in patient care. Medicare and Medicaid have designated specific rules and requirements for Provider Based Billing which we follow. Policy Statements 1. The College does not support provider based billing for care delivered in an outpatient, hospital-system owned practice when that care is not dependent on the hospital facility and its associated technologies. 3 In addressing provider-based billing ACP recognizes the importance of balancing the needs of the community and the unintended consequences of abolishing provider-based billing. In many rural areas, hospitals and patients rely on the care provided in these settings. 1. “Provider-Based” or “Hospital-Based Outpatient” refers to the billing process for services rendered in a hospital outpatient clinic or location. This is the national model of practice for large, integrated delivery systems involved in patient care. Under this model, patients will receive two (2) statements for services provided at a location “off campus”. One statement represents the facility or hospital charge and one statement represents the professional or physician fee. PBB refers to the billing process for services rendered in a hospital outpatient clinic or department. This is the national model of practice for integrated delivery systems where the hospital owns space, and employees support personnel involved in patient care. Some Medicare patients may be covered by their supplemental insurance and will not have to pay more out-of-pocket. Depending on their particular insurance coverage, it is possible benefits may differ for certain outpatient services and procedures at a provider-based, hospital outpatient location. In the provider-based billing model, also commonly referred to as hospital outpatient billing, patients may receive two charges on their combined patient bill for services provided within a clinic. One charge represents the facility or hospital charge and one charge represents the professional or physician fee. 3 In addressing provider-based billing ACP recognizes the importance of balancing the needs of the community and the unintended consequences of abolishing provider-based billing. In many rural areas, hospitals and patients rely on the care provided in these settings. Provider Based status is a status sanctioned by Medicare for hospitals and clinics. It is a national model of practice for integrated healthcare delivery systems like Carle that includes hospital and physician offices. Simply put, it means that physician offices are considered to be departments of the hospital. One of the benefits of having Provider-Based status is the opportunity to participate in the Federal 340B Drug Purchasing Program. PBB refers to the billing process for services rendered in a hospital department or location. This is the national model of practice for large, integrated delivery systems where the hospital owns space and employs support personnel involved in patient care. 
http://www.maryrutan.org/patients-provider-based-billing.aspx https://mercyhealthsystem.org/provider-based-billing/ http://www.maryrutan.org/patients-provider-based-billing.aspx https://www.acponline.org/acp_policy/policies/provider_based_billing_2013.pdf http://www.slhn.org/Pay-Bills/FAQ/Hospital-Based-Provider-Based https://mercyhealthsystem.org/provider-based-billing/ https://www.acponline.org/acp_policy/policies/provider_based_billing_2013.pdf http://www.carle.org/Billing/Provider-Based-Billing-FAQ.aspx http://www.lcmh.org/index.cfm?pageID=489
what is provider based billing mean