What is the structure for this scenario for Medicare recipients:
PCP contracts with a care coordination organization to perform care coordination services for their patients between PCP and specialists.
1. Reassignment of benefits -- would this be at the facility to provider level or provider to provider level? or both? Are there additional forms required other than the 855R?
2. How is it determined when the services are billed at the individual provider level vs. group level?
Thanks in advance for the guidance.