Treatment FAQ

what is a freestanding treatment

by Aditya Bruen Published 2 years ago Updated 2 years ago
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When a treatment program is freestanding it simply means that it operates independently, offering its own specific services to people in need. A freestanding facility can often have more individualized treatment programs that focus on specific problems. It may specialize in treating certain groups of people or those facing unique challenges.

Freestanding Evaluation and Treatment means services provided for individuals who pose an actual or imminent danger to self, others, or property due to a mental illness, or who have experienced a marked decline in their ability to care for self-due to the onset or exacerbation of a psychiatric disorder.

Full Answer

What does a freestanding ER treat?

A freestanding ER can treat any of the conditions a hospital-based ER could. An urgent care can only treat minor injuries and illnesses. When they first started, freestanding ERs filled a need for emergency services in rural areas. Today, they are popping up in suburban areas and neighborhoods.

What is a freestanding drug and alcohol treatment facility in PA?

This subchapter cited in 28 Pa. Code § 709.121 (relating to applicability). § 709.1. Scope. (a) This chapter establishes the procedures for the issuance of a license by activity to freestanding drug and alcohol treatment facilities. The term, facility, applies to the physical location from which drug and alcohol services are provided.

What is the meaning of free standing hospital?

free-standing Managed care adjective Referring to a physically and, often, financially discrete entity–eg, a surgical center, that is separate from, but may be affiliated with, a hospital; FS facilities may provide ambulatory surgery, emergency or primary care.

What are the costs of freestanding ERs?

Freestanding ER costs are generally the same emergency costs as an ER physically at a hospital. So, usually there is no financial benefit to going to a freestanding ER. Your insurance will likely require the same copays and deductibles. However, you need to pay attention to the type of freestanding ER you visit.

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What does freestanding mean in healthcare?

Related Definitions Freestanding Facility means an entity that furnishes health care services and that is neither integrated with, nor a department of, a Hospital. Physically separate facilities on the campus of a Hospital are considered freestanding unless they are integrated with, or a department of, the Hospital.

What does freestanding facility mean?

A freestanding facility performs outpatient services and submits claims separately from any hospital affiliation. Depending on your type of plan benefits, you may have a lower copayment or no copayment1 at all when you visit a freestanding network facility or provider office2 instead of a hospital.

What are some drawbacks of freestanding EDS?

The disadvantage of this type of facility for existing hospitals is that they will siphon off better paying patients. It's a balance that patients, communities, providers and payers are going to have to weigh thoughtfully. Patients deserve convenient choices, the impact on local hospitals must be considered.

What is a FSED?

A freestanding emergency department (FSED) is a licensed facility that is structurally separate and distinct from a hospital and provides emergency care.

What is a freestanding laboratory?

A freestanding facility1 is an outpatient, diagnostic or ambulatory center or independent laboratory which performs services and submits claims as a freestanding entity and not as a hospital.

What are the key differences between a hospital based and a free standing emergency room?

Freestanding ERs can be owned by a hospital or they may be privately owned, but all have one key difference – they are not attached to a hospital, so if a higher level of care is required, such as immediate surgery or cardiac procedure, patients will be transferred to the nearest hospital, potentially losing valuable ...

What makes a hospital critical access?

Critical Access Hospitals must be located in rural areas and must meet one of the following criteria: Be more than a 35-mile drive from another hospital, or. Be more than a 15-mile drive from another hospital in an area with mountainous terrain or only secondary roads.

What is place of service code 11?

OfficeDatabase (updated September 2021)Place of Service Code(s)Place of Service Name11Office12Home13Assisted Living Facility14Group Home *54 more rows

What is the difference between ER and hospital?

Freestanding emergency rooms usually have shorter wait times. A hospital ER provides easier hospital admission. This is probably obvious, as it's attached to a hospital. If you're at a freestanding ER and it's determined that you need to be hospitalized, you'll be taken to a hospital in an ambulance.

What makes a hospital critical access?

Critical Access Hospitals must be located in rural areas and must meet one of the following criteria: Be more than a 35-mile drive from another hospital, or. Be more than a 15-mile drive from another hospital in an area with mountainous terrain or only secondary roads.

Is free standing hyphenated?

The Oxford Australian dictionary has free-standing, but not freestanding. Microsoft Word is no help at all as it will suggest freestanding and free-standing with the same meaning, and both free and standing are legitimate words in their own right.

What is freestanding treatment?

A freestanding facility can often have more individualized treatment programs that focus on specific problems. It may specialize in treating certain groups of people or those facing unique challenges. They are not related to the medical care system so they are a type of “retail” treatment that can offer its own amenities and pricing system.

Why do people choose freestanding treatment?

Some people choose freestanding treatment because of the different pricing options and lower rates but others may simply be looking for a better experience. Although getting treatment from a facility associated with a hospital can still be equally effective, many prefer independent treatment options so that they can have a more holistic recovery. Researching and finding the right treatment center can include looking into different freestanding options and comparing them with hospital treatments to find the choice that will suit you best.

Why are treatment centers preferred?

These types of treatment centers are often preferred because they offer lower pricing options and payment terms that may be easier for patients to afford. Hospitals can often charge very high rates especially for patients that don’t have enough insurance coverage to help them. Treatment centers within a healthcare system usually have to maintain consistent pricing and will not be able to provide the low rates of freestanding treatment.

What makes a treatment center a freestanding facility?

When a treatment program is freestanding it simply means that it operates independently, offering its own specific services to people in need.

Why do people prefer freestanding care?

Overall, most people prefer freestanding treatment because it can offer more individualized care and in many cases be a lower cost option as well. Choosing the right treatment will depend on your major concerns such as whether you need dual diagnosis care or if you have personal needs that may not be covered under more general care. Spending time to try to understand everything you can about different facilities will make it easier to make the right choice.

What are some activities that a hospital may not have?

These kinds of programs can offer unique amenities that a hospital may not have such as a gym, swimming pool, access to the beach, and other possibilities. Patients can get involved in more activities such as hiking, specific sports such as tennis and golf and other fun experiences that may not be available everywhere. The treatment center may also be in a more relaxing and beautiful environment without the hospital-like setting that can make recovery feel more clinical.

When open, is the building a free standing entity?

When open, they make the point that the building is not a free-standing entity, but rather the entry point to the whole fairground behind, and the effect should work well when the main space is used as an exhibition hall in warm weather.

What is managed care?

Managed care adjective Referring to a physically and, often, financially discrete entity–eg, a surgical center, that is separate from, but may be affiliated with, a hospital; FS facilities may provide ambulatory surgery, emergency or primary care. See Walk-in clinic.

What is a freestanding ER?

Free-standing emergency rooms are facilities that provide round-the-clock care for everything from the common cold to heart attacks. However, the charge for the visit is usually the same as an emergency room visit – regardless of the nature of the ailment. Patients receive bills for professional fees, a facility fee and ancillary fees (if radiology or lab services are needed). Facility fees are needed because, like traditional hospital emergency departments, freestanding emergency departments have emergency physicians, nurses, techs and staff, and advanced laboratory and imaging capabilities available. As a result, a patient with a mildly acute condition, such as a cold or sore throat, who visits a freestanding ER, will end up paying approximately the same amount as a traditional ER. Freestanding ERs can be owned by a hospital or they may be privately owned, but all have one key difference – they are not attached to a hospital, so if a higher level of care is required, such as immediate surgery or cardiac procedure, patients will be transferred to the nearest hospital, potentially losing valuable time and delaying treatment. More than likely, patients will also receive two bills if their diagnosis requires a subsequent trip to the hospital. Additionally, some independent freestanding emergency rooms do not accept Medicaid or Medicare patients.

What is a walk in clinic?

Walk-in clinics/urgent care clinics are outpatient clinics that treat most illnesses and injuries, but do not handle life-threatening conditions like chest pain, stroke, breathing difficulties, or severe bleeding. Because of these limitations, if the emergency is beyond the scope of their care, patients will be referred to a local ER.

Why are facility fees needed?

Facility fees are needed because, like traditional hospital emergency departments, freestanding emergency departments have emergency physicians, nurses, techs and staff, and advanced laboratory and imaging capabilities available. As a result, a patient with a mildly acute condition, such as a cold or sore throat, who visits a freestanding ER, ...

What are the benefits of a medical home?

Other benefits include comprehensive and integrated care, a history of medical records and treatments, and most often affordability of quality care.

Is a freestanding ER the same as a traditional ER?

As a result, a patient with a mildly acute condition, such as a cold or sore throat, who visits a freestanding ER, will end up paying approximately the same amount as a traditional ER. Freestanding ERs can be owned by a hospital or they may be privately owned, but all have one key difference – they are not attached to a hospital, ...

Do ERs have to meet the standard of care?

Furthermore, the law requires hospital ERs to meet the standard of care, meaning several tests will be performed in order to rule out certain conditions. Therefore, it’s important to know that patients, or their insurance provider, may receive multiple bills from the hospital, and most times from the ER Physician, ...

Is it easy to know where to go for treatment?

But making that split-second decision can be tough, especially if you don’t understand the difference between a hospital-based Emergency Room, a freestanding Emergency Room, and a walk-in clinic. Sometimes it is not an easy decision, but knowing where to seek treatment could make a significant difference in the cost of treatment, and in the care that is delivered.

Examples of Freestanding Rehabilitation Hospital in a sentence

Payment for Long-term Acute Care Hospital Care, In-State Freestanding Psychiatric Hospital Care, and In-State Freestanding Rehabilitation Hospital Care.

Related to Freestanding Rehabilitation Hospital

Rehabilitation Hospital means an Institution which mainly provides therapeutic and restorative services to Sick or Injured people. It is recognized as such if:

What is Medicare 2203?

Furthermore, Section 2203 describes the consistency of pricing across settings for the hospital and associated sub-providers, while 2204 specifies that “the Medicare charge for a specific service must be the same as the charge made to non-Medicare patients (including Medicaid, CHAMPUS [Civilian Health and Medical Program of the Uniformed Services], private insurance, etc.), must be recorded in the respective income accounts of the facility, and must be related to the cost of the service.” These provisions have caused many to steer clear of creating separate pricing structures based on patient type.

Is granularity a problem for billing?

Some even become more granular in the application of reduced rates. This granularity can mitigate net revenue loss, but it can be problematic for administration. Namely, can the billing system implement the structure being modeled? Typically, the more granular the application, the more difficult the implementation—especially implementation free of unintended issues or financial impact.

Can lower outpatient cost be passed on to patients?

That lower outpatient cost structure can be passed on to those patients through the form of reduced prices. Furthermore, so long as that lower outpatient price is charged to all patients (e.g., Medicare, commercial) there is no issue.

Does Medicare reduce lab prices?

We might see further reduction of lab prices if other commercial payers follow Medicare’s payment approach to eliminate separate payment for tests performed with other primary courses of care. In addition, fee schedule pricing, or significantly reduced pricing as a result of packaging, can present “lesser-of” exposure, which should be measured. The price could fall below the negotiated rate in a “line-level” lesser-of example, or, the elimination of lab charges could cause claim-level lesser-of provisions to be triggered in the “packaged” example. We’ll come back to this point in the next section.

What is a freestanding option?

The term “freestanding” also applies to a single financial instrument that comprises more than one option or forward component; for example, a collar, which consists of a written put option and a purchased call option.

Why is it important to know if a component is freestanding or embedded?

Determining whether a component is freestanding or embedded is important because the criteria used to determine the accounting recognition and measurement for freestanding instruments differs from the criteria for embedded components. PwC. All rights reserved.

What is a strong indicator that the components are freestanding?

Since separate exercisability invariably requires the component to first be detached prior to exercise, this is a strong indicator that the components are freestanding.

Is a Series B warrant a freestanding financial instrument?

This indicates that the Series B warrant may be a freestanding financial instrument . The Series B warrant can be separately exercised; the Series A preferred shares remain outstanding if the Series B warrant is exercised. This indicates that the Series B warrant may be a freestanding financial instrument.

What is a freestanding ER?

A freestanding ER provides emergency medical services at a place outside a regular hospital campus. It is not attached to a hospital or even located near one. Keep in mind, a freestanding ER is not the same as an urgent care center. A freestanding ER can treat any of the conditions a hospital-based ER could. An urgent care can only treat minor ...

What is the difference between a freestanding ER and a hospital ER?

hospital ER is what happens if the staff needs to admit you to the hospital. A hospital ER has direct access to inpatient admissions. At a freestanding ER, an ambulance will need to transport you to the hospital. Private ERs usually have agreements with local hospitals to transfer patients who need inpatient care. These transfers can happen very quickly, even for emergencies like stroke or heart attack.

Where are freestanding ERs popping up?

When they first started, freestanding ERs filled a need for emergency services in rural areas. Today, they are popping up in suburban areas and neighborhoods.

Can a freestanding ER accept Medicare?

As a result, only hospital-owned freestanding ERs can accept CMS payments. Private freestanding ERs cannot participate in Medicare, Medicaid or TRICARE. However, this may also be a changing trend. Some of these private companies are partnering and affiliating with hospitals that do not have their own freestanding ERs.

Do freestanding ERs have network status?

If the situation permits, check with your insurance provider to verify your eligibility for care.) In general, hospital-owned freestanding ERs will have the same network status as the main hospital (including the ER). Private freestanding ERs can also negotiate with health insurers to provide network coverage.

What does it mean when a hospital is not nearby?

When hospitals are not nearby, this can mean faster care for you and your loved ones when minutes matter. If you call 911, keep in mind that in the majority of situations, the ambulance will take you to a hospital’s emergency department. There may be exceptions depending on where you live.

Is a hospital owned ER considered an outpatient?

CMS (Centers for Medicare and Medicaid Services) only recognizes hospital-owned freestanding ERs. CMS considers these ERs to be a hospital outpatient department. As a result, only hospital-owned freestanding ERs can accept CMS payments.

What is freestanding credit insurance?

As defined in the ASC Master Glossary, “freestanding” means that the contract must be entered into either (a) separately and apart from any other financial instruments or equity transactions, or (b) in conjunction with another transaction and is legally detachable and separately exercisable.

Does ASC 326 cover freestanding insurance?

However, ASC 326 does not provide separate recognition guidance for freestanding insurance contracts.

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