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Credentialing with the 855B

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jcbilling:
OK - I have a credentialing question that I'm stumped on...If a group practice sends one of their NP's to a skilled nursing facility to see patients, is it correct that the group needs to list the facility's info and NPI in section 4 of the 855B to report to Medicare that the group rendered health care sevices there?

~ Charity

Michele:
Not the facilities NPI, but their address.  It is still the NP's or group's NPI that goes on the form.

jcbilling:
Oh - but on the claim form, we would indicate in Box 32 the SNF and their NPI or the group's NPI?

Michele:
On the CMS, it is the NF's NPI in box 32.

jcbilling:
Along those same lines, when we add that SNF in Section 4, we use the NPI of the group that is sending the NP to see patients. And I would assume the Medicare PTAN of the group sending the NP as well. But if the group doesn't have a PTAN for that jurisdiction yet (the reason the 855B is being completed), then that would be left blank, is that correct? They have a PTAN for another jursidiction, but that would be applicable in the jurisdiction that the group is enrolling with...correct?

Wow - my brain is hurting!!!

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