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Medicare & ARNP, PAC

  1. Default Medicare & ARNP, PAC
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    We recently discovered that our office was billing all of our claims for ARNP's and PA-C's under our single doctor's NPI and Medicare PTAN. We don't think we will be able to meet the incident to rule. Anyone know when Medicare started requiring the ARNP and PAC individual NPI on the claim form? Anyone have any experience in this matter, or know how we go about returning $$$ to Medicare?

  2. #2
    Phoenix, AZ
    NPIs have been required for billing since 2006 or 2007, I think. Contact your Medicare carrier provider rep. Which state are you in?

    Good luck,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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