I was assigned a client, Psychologist, who currently bills medicare under a group. He is conducting a program at another facility completely separate from the group with which he is "employed".
I attempted to bill for him as an individual since I was given his PTAN and NPI and I used his SSN as TAX ID. This was rejected. After researching & speaking to reps I had him fill out an 855R which has been "in process" for an entire year! First with Cahaba then it was transferred to Palmetto GBA more recently.
I have never in my 23 years of billing been faced with such a problem. I cannot get a straight or consistent answer from Medicare regarding the correct way to bill for him.
Will filling out the 855R affect his employer billing his current work?
Will the current 855R actually be the answer to his being able to bill as an individual?
Thank you!!
Elizabeth Burley
Augusta Medical Billing