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Wiki Billing Provider for MA claims

Thread starter PhyllisT
Start date Mar 20, 2018

Create Wiki

PhyllisT

Contributor

Mar 20, 2018

Although Medicare Advantage claims are reimbursed PMPM and not Dollar-for-Dollar like straight Medicare FFS if an APC ( Advanced Practice Clinician/Non-Physician Practitioner)has an NPI# and credentialed with Medicare and not billing Incident-to should thery be identified on the CMS Claim/837 as the rendering/billing provider.
Thanks,
Phyllis Thomas, CPC-I, CRC
thomas.phyllis@scrippshealth.org

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