taxonomy

  1. B

    Wiki Medicaid Denials

    Hello! I keep getting Medicaid denials for claims and the reason is that it says "Missing Billing Provider Taxonomy number". Well this denial just started happening after years of no issues before, also the billing provider and provider taxonomy numbers are the same, anyone else have this issue...
  2. W

    Wiki TAXONOMY CODES

    Is the taxonomy code for the attending and or operating provider on a electronic Part a Claim 837I required?
  3. C

    Wiki Health Care Provider Taxonomy or Characteristics Code Set Question

    I understand that the selection of a taxonomy is not contingent upon any certification or license. As taxonomy codes have evolved and the list has expanded, is there a best practice or guiding principle in selection? Are publications available that reference CMS crosswalk, payer claim impact and...
  4. N

    Wiki Billing for Provider who is PCP and Specialist

    I am curious if anyone has this issue. I have a physician who joined our group recently, he is a PCP to half of his patients, the other half he sees as specialty. We are a specialty group. One insurance wants us to get a separate NPI so that this provider can be listed as both. We are trying...
  5. J

    Wiki Facility fee denials for gastro procedures in our physician owned ASC

    I am hoping to get some input/advice.. We are being denied ALL of our facility fee charges for our ASC from Medicaid due to "Taxonomy codes not supporting our CPTs." Our ASC is billing out with the taxonomy code for ambulatory surgery center, and a rep from Medicaid tells me that we should be...
  6. D

    Wiki Taxonomy selection

    I am an office manager for small ENT/audiology practice in Texas. The doctor is listed with NPPES as group-single specialty. As I add the audiologists to her contracts, does that change her to group-multi specialty? If so, how do I go about changing her status with NPPES? Thanks!
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