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Credentials to bill E/M

  1. #1
    Location
    Salisbury, MD
    Posts
    27
    Default Credentials to bill E/M
    Medical Coding Books
    Hello Everyone!
    I need some help. Can someone point me to a reference where it says you have to be a MD, NP, mid-wife, or PA to bill an E/M service. We have a psychologist (PhD) who states she cannot bill E/M consultation, because she is not credentialed at that level, which I do think is correct, but I cannot find where that is documented anywhere.

    Thanks!
    Lynn Busby, RN, CPC-A

  2. #2
    Location
    North Carolina
    Posts
    3,126

  3. #3
    Location
    Salisbury, MD
    Posts
    27
    Wink
    Hey Rebecca
    Wow, thanks for all of your help. I see where Medicare will not reimburse, but does that hold true for all insurance companies?
    Thanks!
    Lynn

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    It is my understanding that not all carriers adopt Medicare's view and will become carrier driven. The facility/office will need to contact the carrier directly for their policy.

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