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?
- Cheat Lake Clinic
- Physician Office Center (except MRI services)
- Suncrest Towne Centre – Medical Specialties
- University Town Centre (except MRI services)
- Center for Integrative Pain Management
- Heart and Vascular Institute clinics located at J.W. Ruby Memorial Hospital
- Orthopaedics and the WVU Spine Center located on Maple Drive
- Radiation Oncology – HSC
- Sleep Evaluation Center
- WVU Cancer Institute
- Fairmont Regional Cancer Center
- Mary Babb Randolph Cancer Center
- WVU Eye Institute