Wiki Multiple facility addresses

[Shagrlygrl]

If a physician were to see patients at a separate location from his main office, what are the billing requirements?
For instance, if the physician were to see patients part-time at a facility owned by another doctor, would that facility address need to be on the claim?
The doctor would see his own patients on a walk-in basis at a facility of a colleague but bill them as his own patients.
I would appreciate links to specific billing guidelines (ie: A CMS billing manual).

Thank you for the feedback!

 

[pamsbill]

No links, so take it for what it is. You have to add the address as a place where he is going to see patients. The CMS 855 form has a section for locations. You have to add that for Medicare. For BCBS and the commercials, there are different processes for each company to add an address. Most of them will accept a faxed document on letterhead, but you will have to check with their credentialing departments to see what the requirements are for each. You are simply adding a location.

Yes, the address of the location where the services are performed belongs in the equivalent of box 32 of the HCFA.

 

[Shagrlygrl]

Thank you Pamsbill!

 

[thomas7331]

Just a reminder that to avoid denials or payment problems you'll need to notify your payers of the new practice location if you're going to be billing these as office services.