What is a provider-based clinic?

WVU Hospitals owns and operates several provider-based-clinics. Based on regulations issued by the Centers for Medicare and Medicaid Services, “provider-based” refers to services provided in an outpatient clinic or location that is clinically and financially integrated with the hospital.  Patients benefit because hospital outpatient clinics and locations are subject to additional quality standards and are monitored by The Joint Commission, an independent, not-for-profit organization that accredits and certifies healthcare organizations and programs in the United States.

What does this mean to me as a patient?

You are receiving services at a provider-based clinic or location that:

  • Is owned and operated by WVU Hospitals
  • Is clinically and financially integrated with WVU Hospitals

How does receiving care at a provider-based clinic affect billing?

The provider-based reimbursement model generates two separate bills:

  • One bill for the physician service.
  • Another for the hospital/facility resources and services.

Which WVU Hospitals’ locations are provider-based?