Billing > Facility Billing

Medicare Billing Question

(1/1)

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.

Navigation

[0] Message Index