You do use the provider's medicaid number, but some states (liek NY) also require a billing service to be assigned a number as well, strictly to identify them as a billing service. I'm not sure on PA.Michele
Yey Charlene!
I understand that, but FLorida is because of the fee splitting crap. I'm a believer in specialties also. One of the things that I stress to anyone that I mentor to is to familiarize yourself with the medicaid rules of the state you are billing for. Each state has different rules. We have a Cap Medicaid program in NC. I don't know if any other state has that. If they do, it may be called something else, and the rules are different. I can be flexible in my border states and have plenty of business. I had a friend who took on a NC provider (she is from another state) and he does a lot of medicaid. She had to rebill those claims several times because she just wasn't familiar with how we do Medicaid in NC. Another reason as I stated, its just risky enough when you deal with providers paying you. I just prefer local providers personally.