Reimbursements

Category:

Provider Overhead Expenses

Reimbursement Policy: NDRP-GC-010
Topic: General Coding
Effective Date: July 01, 2018
Last Reviewed:
February 22, 2019

Description:

This policy addresses certain items that are considered part of a provider’s overhead expense.

Definitions:

Overhead expenses include items such as facility/room fees, heat, light, rent, equipment, supplies and office staff.

Policy:

Expenses such as facility/room fees, heat, light, rent, equipment, and office staff are considered part of a provider’s overhead expense and should not be billed separately from his or her professional services. Additionally, the cost of supplies (e.g., suture removal kits, surgical trays, electrodes) used in providing a covered professional service is included in the allowance for that professional service and should not be billed separately.