Wiki PCP...Specialist...Confused!

[smshortcake]

I am currently billing for a PCP that sees patients in her office as well as a nursing home. As of this month, she has completed her Rheumatology degree. If she sees patients as a specialist, in either the nursing home or her office, and is billing the same codes as she has in the past (ex. 99201-99215 and 99304-99310), how will insurance companies, like Medicare, know that her fee schedule should increase? Is that information linked to her NPI once the insurance companies are made aware of her specialty? I appreciate any help...I am confused.

 

[smartcoder]

Ins companies won't know unless you tell them. You need to contact insurance and update provider info. for commercial insurance you probably need to renegotiate the contract as well.