Medical Billing Forum

General Category => General Questions => Topic started by: crae on February 04, 2011, 06:54:14 PM

Title: Billing for venipuncture
Post by: crae on February 04, 2011, 06:54:14 PM
Does anyone know where I can find documentation on the following scenario.
Patient present to our Physician Clinic with an order for blood work from a Provider that is not on our staff. Our facility wants to register a nurse visit under the Provider that wrote the order.
I have always understood that we can not bill for a Provider under our group NPI# unless he is part of our group.

Title: Re: Billing for venipuncture
Post by: Michele on February 05, 2011, 06:24:57 PM
You cannot bill for the nurse visit under the provider who ordered the blood work because the nurse is not supervised by that physician.  That physician isn't even aware that the nurse is seeing the patient, and will most likely not even see the notes from that visit.  The nurse visit should be billed under the physician who supervises the nurse, and who the nurse is employed by.  You are correct, you cannot bill for a provider under the group NPI if that provider isn't part of the group.