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Wiki Nurse Practioner
- Thread starter bkwrmz7
- Start date
RebeccaWoodward*
True Blue
RebeccaWoodward*
True Blue
This will become carrier specific for commerical plans. Some carriers do not credential midlevels which would require you to report the service under the physicians name and NPI #...assuming the service is within the NPP's scope of service. I would contact the plan(s) in question for their guidance.
mitchellde
True Blue
Since Medicare is considered the gold standard then you should assume it is good across the board. The AMA has stated that if a payer indicates that you should "just bill under the physician" then you should request this writing with the stipulation that they are setting aside the medicare definition of incident to and will allow you to bill under the physician number when the definiton of incident to has not been met. I have question several commercial carriers on this point and all told me that they mean to follow incident to per Medicare when they state to bill under the physician it is just misinterpreted by the provider.