Medical Billing Forum

Billing => Billing => : butterfly7 April 28, 2016, 01:12:34 AM

: oncology bill
: butterfly7 April 28, 2016, 01:12:34 AM

i am billing for a cancer clinic because of the way their providers are grouped under NPI, certain payers are refusing to pay New Patient E&M rates.  They’re saying the patient has already been seen (like by the provider who issued the diagnosis) and that the first cancer center visit is a follow-up, not an initial. please help

 

: Re: oncology bill
: Michele April 28, 2016, 11:33:34 AM

If they are billing under one group NPI & EIN then that is correct.  The NP visit is only allowed the one time.