Wiki ASC and Doctor billing

[Twins2018]

I have a doctor that bills for ASC and his professional billing for same DOS and same codes. Exp: 64493, 64492 with 50 modifier on both. Both POS are 24. One under Ambulatory Center the other under the doctor prof . Can this be billed like this and paid? I have every insurance pay one and not the other. But I am being told both should pay.

 

[SharonCollachi]

The ASC bills for the facility side, under a different tax ID.

 

[Twins2018]

yes. asc and prof have different tax id and npi

 

[SharonCollachi]

Which one is being denied and what are the reasons?

 

[Twins2018]

I get either paid already under another NPI / Tax ID or it denies under Dr NPI as provider not credentialed to provide service. Which he is on these insurances.