Medical Billing Forum
Billing => Billing => : butterfly7 April 28, 2016, 01:12:34 AM
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i am billing for a cancer clinic because of the way their providers are grouped under NPI, certain payers are refusing to pay New Patient E&M rates. They’re saying the patient has already been seen (like by the provider who issued the diagnosis) and that the first cancer center visit is a follow-up, not an initial. please help
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If they are billing under one group NPI & EIN then that is correct. The NP visit is only allowed the one time.