Billing Information for Provider and Hospital-based Clinic Care If you receive care or services at a hospital-based outpatient clinic, your bill may include separate charges for the facility and for the professional who provided your care. Medicare and Medicaid billing rules require separate charges for provider and hospital-based outpatient services covered by Medicare, Medicare Advantage, and Medicaid. To help you understand your bill, here are some common questions many patients ask. What is a hospital-based outpatient clinic? Hospital-based outpatient clinics are considered a department of