We have contract clinicians working in our Radiation Oncology Department. They all work for a provider agency. The provider agency does billing for other health care organizations in the area. We bill for all our own patient charges and pay the clincians a lump sum of money yearly for their services.

Does anyone know the best way to bill for the professional & technical services? We recently ran into a problem where the insurance company we billed had sent our payment to the 'provider agency' because their name was attached to the clinicians NPI. We are trying to find a way to prevent that from happening.

If anyone has this same scenario or any advice on the best information to include in box 31 & 33