Medical Billing Forum
Billing => Billing => : pazamba November 21, 2016, 08:17:01 PM
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If we bill Medicare for non-participating rendering provider and participating billing provider, what will be the payment:
- full payment as for participating provider or
- 5% less as for non-participating provider?
Thanks a lot,
Alex
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I believe it goes by the billing provider however the rendering provider must be connected to the group (CMS 855R). When they re-assign their benefits to the group they are considered participating when billing is done under the group EIN/NPI.
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Thanks a lot Michele!