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Medicare Charges for family member of provider

  1. #1
    Utica New York
    Default Medicare Charges for family member of provider
    Medical Coding Books

    Am I correct in thinking that the provider cannot bill Medicare for a family member of his. Say his sister in law? Or am I just dreaming?

    Please help.

    Lisa M. Toth Brosey, CPC
    Faxton St. Lukes Healthcare
    Utica, NY

  2. #2
    North Carolina
    I think you're ok with the sister-in-law...

    "A brother-in-law or sister-in-law relationship does not exist between the physician, supplier or owner of a provider (or supplier) and the spouse of his wife's or her husband's brother or sister."

    Section 130 - Charges Imposed by Immediate Relatives of the Patient or Members of the Patient's Household
    Rebecca CPC, CPMA, CEMC

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