Wound Care Billing

We have just opened a Wound Care Out Patient Center, not having ever worked with this, I a have a few questions because our set up is a little different than most.

We have a Dr who will be doing his own billing for the professional piece and the hospital will be billing for the technical section (which seems to be correct).

I was told that even tho the Doctor will be billing for example code 11001 with a modifer on a 1500 and his professional fee; that the hospital could also bill for 11001 with a Rev code of 716 on a UB in addition to a facility charge and of course the supplies. The bases of being able to do this, I was told " is the same concept of the Dr charging for a surgery and the hospital charging for the OR time, supplies etc.

I am really confused on this issue because to me this is double billing which is a NO NO. I need an answer from someone who know Wound Care billing.

HELP

re: Wound Care Billing

Revenue codes only apply to providers who bill these services to the fiscal intermediary or Part A MAC. Revenue codes do not apply to physicians, other professionals and suppliers who bill these services to the carrier or Part B MAC.

Please note that not all revenue codes apply to every type of bill code. Providers are encouraged to refer to the FISS revenue code file for allowable bill types. Similarly, not all revenue codes apply to each CPT/HCPCS code. Providers are encouraged to refer to the FISS HCPCS file for allowable revenue codes.
Yes, the hospital will bill out a revenue code for the procedure performed in an outpatient clinic. It is not double billing. They will get the technical component. To be more precise is not possible without all information and charges submitted by MD and hospital.

re: Wound Care Billing

Thank you so much for the information on wound care, it was really helpful.