Medical Billing Forum

Billing => Billing => Topic started by: butterfly7 on April 27, 2016, 10:12:34 PM

Title: oncology bill
Post by: butterfly7 on April 27, 2016, 10:12:34 PM
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

 
Title: Re: oncology bill
Post by: Michele on April 28, 2016, 08:33:34 AM
If they are billing under one group NPI & EIN then that is correct.  The NP visit is only allowed the one time.