There is a good bit of discussion about this out on the web, I researched it one day.
In theory, they should be able to bill under their own numbers since they are considered the same provider. In practice though, Medicare will generally deny the add on code since it is not under the same provider as the primary code. The discussions I ran across were about critical care provided in the same manner, the billing of these services are essentially the same in this situation.
There was heated debate as to why it matters who it is billed under. Obviously the biggest issue to many is compensation, a lot of providers are paid based on volumes, so the 2nd provider is going to get short changed.
I personally think we should bill it correctly (under the provider of service) and fight it out or else it will never get fixed in their systems.
Just my opinion,
Laura, CPC, CEMC
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join