Author Topic: Rendering Provider  (Read 701 times)

pazamba

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Rendering Provider
« on: November 21, 2016, 05:17:01 PM »
If we bill Medicare for non-participating rendering provider and participating billing provider, what will be the payment:
- full payment as for participating provider or
- 5% less as for non-participating provider?

Thanks a lot,
Alex

Michele

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Re: Rendering Provider
« Reply #1 on: November 22, 2016, 07:48:12 AM »
I believe it goes by the billing provider however the rendering provider must be connected to the group (CMS 855R).  When they re-assign their benefits to the group they are considered participating when billing is done under the group EIN/NPI.
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pazamba

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Re: Rendering Provider
« Reply #2 on: November 22, 2016, 10:18:39 AM »
Thanks a lot Michele!