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Wiki medicare billing for naturopaths

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mcastold

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Scenerio: the Naturopath/ND orders lab work on a Medicare patient. The lab bills Medicare and gets the PECOS denial for invalid provider. Since ND's are 'statutorily non-covered', we rebill with the GY modifier, get the denial and then bill the patient.

Correct? Incorrect? Then how should the lab handle specimens it receives from ND providers?
 
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