Re: [CRN-L] NPP billing
First - you have to consider their scope of licensure from the state they are
Second - if the license allows for the supervision to be by
telecommunications, (Maryland and Virginia do) - then you can bill to the
other carriers under the physician's name, even if the physician is not on
site - UNLESS the health plan credentials NPP's - if so, then it is under
their own name in block 31.
It is only Medicare that has the requirement 'on site supervision' to bill
under the Dr's name.
Karen Hurley, CMM, CPC
Tel: (800) 852-9286
Fax: (301) 645-8632
The information in this communication has been provided as an opinion to
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the author. The contents are not intended to be used as a source of
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______________________< reply separator >______________________________
In a message dated 4/30/02 9:10:45 AM Eastern Daylight Time,
> What we struggle with is how to deal with billing for a morning's worth of[Non-text portions of this message have been removed]
> patients for our CRNP, who happened to be in one of our other office
> locations seeing patients on his own, without any physician supervision.
> It's happened twice now. We know we must bill Medicare with his own
> provider number, but no one in my department has the time to find out how
> the commercial carriers want it handled.
> Leslie A. Follebout, CPC
> Coding Analyst
> Peninsula Orthopaedic Associates, P.A.
> ----- Original Message -----
> From: Margie S Vaught, CPC, PCE, CCS-P, MCS-P <Vaught@...>
> To: coding & reimbursement <CRN-L@yahoogroups.com>
> Sent: Thursday, April 25, 2002 10:48 PM
> Subject: [CRN-L] NPP billing
> > If you were attending a presentation on NPP billing and coding, what
> > would you like to see presented or what seems to be the biggest hurdle
> > to get over?
> > TIA
> > Margie S Vaught