Results 1 to 5 of 5

FP vs IM and same TIN

  1. #1
    Greeley, Colorado
    Question FP vs IM and same TIN
    Exam Training Packages
    When billing under the same TIN, are Family Practice and Internal Medicine considered "the same" and therefore a patient from FP cannot be coded as new to IM? This is what I believe, but unfortunately cannot find it in writing...
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Greeley, Colorado
    Does anyone have any information on this topic?
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Default Different specialties
    They are both recognized specialties so the FP patient that goes to IM is new and vice versa.

    Hope this helps,

    Laura, CPC, CPMA, CEMC

  4. #4
    Greeley, Colorado
    Thank you for the link Laura. I assume the physicians must be credentialed with each insurance carrier with the correct taxonomy code for proper recognition and reimbursement? I don't do the credentialing so I'm not sure how this works.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Sioux Falls South Dakota
    Lisa, I used to work in the provider area at an insurance company. Most do list the provider's specialties and taxonomy numbers so it shouldn't be a problem. Sometimes, in multi-specialty groups, the insurance co. may have a problem because of all the same tax ID; but most have updated their software to recognize specialties and/or taxonomy codes. You should be OK with most insurance to bill a NP visit with the different specialty. We counted both FP and IM (along with Peds) as primary care, but different specialties.
    Hope this helps!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

Similar Threads

  1. Billing under - My boss wants to know
    By Kathie612 in forum Compliance General Discussion
    Replies: 2
    Last Post: 01-17-2012, 10:54 AM
  2. New TIN - can we bill "new" patients?
    By jvaughn5 in forum Pediatrics
    Replies: 5
    Last Post: 09-23-2011, 01:32 AM
  3. Same TIN= Same Pricing?
    By RNCPC0709 in forum Medicare Regulations
    Replies: 0
    Last Post: 12-08-2009, 11:30 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.