Wiki EP Consult

[karbaker]

Cardiology Practice with EP Specialist. We have been informed in the past that our Cardiologist's can bill New patient 99201-99205 and then patient can be referred to our EP Specialist for Consult and also bill 99201-99205. Both bill under the same group NPI#.

So far Medicare and HMO have denied such charges and we have been unsuccessful in appeal

 

[Cyndi113]

You need to check and see how the NPIs are set up and how your billing is set up for the EP.

 

[j.monday7814]

You need to check and see how the NPIs are set up and how your billing is set up for the EP.

I agree with Cyndi, I would check with your credentialing department first. We have a similar situation here with cardiologists and EP and we rarely have issues with denials

 

[karbaker]

what specific steps should be followed in order to be paid. Does our EP Dr have to be a seperate entity within our goup and or billed seperately.

thank you

 

[karbaker]

what specific steps should be followed in order to be paid. Does our EP Dr have to be a seperate entity within our goup and or billed seperately.

thank you