Rgreen0118
Guest
Hi everyone,
Does anyone know the guidelines for billing incident to for "commercial" payers? Is it different for each payer? Our biggest problem is UHC. The office is located in a rural area and we are the only one's to see patients in this area. UHC is telling us that we can bill the claim under the physician. The problem is that the physician is hardly ever in one of the locations. I am uncomfortable with billing under the physician and the physician is not reviewing the charts or signing off on them. ( and probably has never seen the patient himself)
They suggested billing under the physician and using the SA modifier. I am not sure if this is correct either.
Can anyone help me with this situation. Without something in writing I hesitate to bill out those charges.
Thanks,
Rhonda
Does anyone know the guidelines for billing incident to for "commercial" payers? Is it different for each payer? Our biggest problem is UHC. The office is located in a rural area and we are the only one's to see patients in this area. UHC is telling us that we can bill the claim under the physician. The problem is that the physician is hardly ever in one of the locations. I am uncomfortable with billing under the physician and the physician is not reviewing the charts or signing off on them. ( and probably has never seen the patient himself)
They suggested billing under the physician and using the SA modifier. I am not sure if this is correct either.
Can anyone help me with this situation. Without something in writing I hesitate to bill out those charges.
Thanks,
Rhonda