Billing for Midlevels non Medicare

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I am taking a survey on billing midlevel services where the insurance payer
does not credential midlevels.

Most payers say to bill under a physician's name and number. Do you know
of any payers (other than Medicare) that specify the service must be billed
in the supervising provider's name? Yes or no.

If not do you believe it is a expected industry standard that the service
be billed under the initial treating physician's name and number or do you
believe it is an expected industry standard that the service is billed under
the supervising provider's name and number.

Thanks for any insight you may have.

Jan

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I am taking a survey on billing midlevel services where the insurance=
payer=20
does not credential midlevels. 
 
Most payers say to bill under a physician's name and number.&nbs=
p; Do=20
you know of any payers (other than Medicare) that specify the service must=
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billed in the supervising provider's name?  Yes or no. 
 
If not do you believe it is a expected industry standard that the ser=
vice=20
be billed under the initial treating physician's name and number or do you=
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believe it is an expected industry standard that the service is billed und=
er the=20
supervising provider's name and number. 
 
Thanks for any insight you may have. 
 
Jan
 
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Comments

  • We do have carriers who don't credential or enroll NPP's. Typically they require billing under the supervising physician.

    Kris

    Kris Cuddy, CPC, CIMC
    Healthcare Compliance Analyst
    Compliance Office
    Michigan State University HealthTeam
    East Lansing, MI
    Ofc: 517-355-4547
    Fax: 517-353-5292

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