Software Specific Questions:
#2 What is the difference between Facility (Fac) and Non Facility (NonFac)?
Medicare Part B services that are paid under the Resource Based Relative Value System (RBRVS) fee schedule may have differing payment amounts based on where a service was provided. In general, Facility services are provided within a hospital, ambulatory surgery center, or skilled nursing facility. Non Facility services are provided everywhere else and include outpatient clinics, urgent care centers, home services, etc.
Non Facility services generally have a higher reimbursement rate due to a higher relative value unit (RVU) for the Non Facility Practice Expense amount. In a Facility setting, such as a hospital, the costs of supplies and personnel that assist with services - such as surgical procedures - are borne by the hospital whereas those same costs are borne by the provider of services in a Non Facility setting.
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