Medical Billing Forum
Billing => Billing => : faulknerbarb March 05, 2022, 10:20:46 AM
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Hello,
I have been doing medical billing only since 2018, so I am relatively new. Just recently contracted to send Medicare claims EDI. Now I am getting my claims rejected saying I need a referring/ ordering physician. The practice is a family facility and never needed this before . I know you need a physician for ordering certain equipment. I cannot get any help from medicare. Help . Barbara
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Every Claim requires referring / ordering practitioner, who is providing the services.
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Actually all services do not require referring/ordering providers. However some services do, such as EKGs and other testing. In the case you describe, the rendering provider is also the referring provider since he/she decided to perform the test, they both ordered the test, and rendered the service. So you would put in the rendering provider as the ordering/referring provider.