Billing > Facility Billing
Medicare Billing Question
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avehildebrand:
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
kristin:
Yes, the PT has to be credentialed with Medicare, since she is the rendering provider.
avehildebrand:
Thank you Kristen! :)
Michele:
Just to add to this, the PT has to be credentialed, as Kristin stated, but also linked to your group using the CMS 855R.
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