Author Topic: Medicare Billing Question  (Read 61 times)

avehildebrand

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Medicare Billing Question
« on: June 13, 2018, 03:29:51 PM »
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

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Re: Medicare Billing Question
« Reply #1 on: June 15, 2018, 02:18:55 PM »
Yes, the PT has to be credentialed with Medicare, since she is the rendering provider.

avehildebrand

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Re: Medicare Billing Question
« Reply #2 on: June 18, 2018, 09:18:34 AM »
Thank you Kristen!  :)

Michele

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Re: Medicare Billing Question
« Reply #3 on: June 18, 2018, 02:09:07 PM »
Just to add to this, the PT has to be credentialed, as Kristin stated, but also linked to your group using the CMS 855R.
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