I have a potential new client that origianlly approached me to do only his PI billing (chiro office). Now he is opening a new location and asked me today about not only doing PI for both practices, but also doing the major medical at his new office. The problem is that he already has a biller for the main location that he would like to continue to use for the main office major medical. (Seems like too many cooks in the kitchen to me, but it's his practice.) When it was PI only, I didn't forsee any problems, but if I am trying to bill MM also and use the same tax id, npi's I think we are going to have a clearinghouse issue.
It is my understanding that if I submit enrollment forms to Zirmed (my clearinghouse) for enrollment with Medicare that it will shut off whatever clearinghouse the other biller is using. As I think this through, I suppose there wouldn't be any issues with ins cos that don't required enrollment, but for Medicare, Medicaid, etc there would be a conflict.
Does anyone have any experience with a situation like this?
Cara