Book excerpt: Billing for Ancillary Bedside Procedures Training Handbook Pack includes 5 handbooks Denise Williams, RN, COC Hospitals are often concerned that charging separately for bedside procedures will be considered "double dipping"--perhaps rightfully so, because the rules can be complex. As a result, hospitals frequently miss payment for services that can be billed and reported separately by rolling them into charges for room-related or observation services. However, CMS allows facilities to line-report many items that are often thought of as outpatient nursing services (e.g., injections, transfusions, and certain supplies) for both inpatients and outpatients.