Medical Billing Forum

Billing => Facility Billing => : avehildebrand June 13, 2018, 06:29:51 PM

: Medicare Billing Question
: avehildebrand June 13, 2018, 06:29:51 PM

Hello everyone!

To be honest I am super excited to join this! I work for a Physical Therapy practice and we just got contracted with Medicare and all of our claims are getting denied (CO & B7). Although our group is contracted with Medicare our PT is not. Is this going to cause issues when billing? On the CMS 1500 form box J it puts her individual NPI not the group.

This Medicare billing is so confusing to me :( Someone please help.

Thank you!

Ave

: Re: Medicare Billing Question
: kristin June 15, 2018, 05:18:55 PM

Yes, the PT has to be credentialed with Medicare, since she is the rendering provider.

: Re: Medicare Billing Question
: avehildebrand June 18, 2018, 12:18:34 PM

Thank you Kristen!  :)

: Re: Medicare Billing Question
: Michele June 18, 2018, 05:09:07 PM

Just to add to this, the PT has to be credentialed, as Kristin stated, but also linked to your group using the CMS 855R.