AAPC - Back to school
Results 1 to 2 of 2

Thread: Mid Level Billing

  1. #1
    Join Date
    Apr 2007
    Omaha AAPC

    Default Mid Level Billing

    AAPC: Back to School
    We are doing some billing for a Large Pharmacy Facility. We are receiving scripts from a Mid Level Practitioner (PA, NP's) who are within the group practice. Although the midlevels have NPI's we are trying to determine whose NPI's should be listed on the claims. Should it be the Supervising Physician or should it be the Mid level's information?
    Deanna R. Anderson CPC
    Omaha, NE

  2. #2
    Join Date
    Apr 2007
    Lynchburg, Virginia

    Default Mid Level Billing

    The rules may be different for a pharmacy facility, but in a clinic, if an NPP has their own NPI, then the claim is billed under that. The only time we bill under a Supervising Physician is when the NPP is not credentialed with a particular insurance company. It also depends on the facility's organization. Some facilities are organized in a way that everything is billed under a supervising physician, others don't.

    Like I said though, a pharmacy facility may work under different regulations, these are just my thoughts.
    Last edited by jbrashear; 06-13-2011 at 12:46 PM. Reason: clarification
    Janice B, CPC

Similar Threads

  1. Mid-Level Providers
    By Rachel042807 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-01-2015, 07:43 AM
  2. Mid-Level Providers
    By Rachel042807 in forum Modifiers
    Replies: 0
    Last Post: 04-01-2015, 07:34 AM
  3. MD vs. Mid Level
    By jenp2005 in forum Internal Medicine
    Replies: 2
    Last Post: 06-25-2013, 05:46 AM
  4. Billing All Mid-Level Providers Under the DOC
    By dballard2004 in forum Billing/Reimbursement
    Replies: 4
    Last Post: 08-29-2011, 09:20 AM
  5. Mid Level Physicians coding and Private ins. Billing
    By 123smile4me@gmail.com in forum Billing/Reimbursement
    Replies: 0
    Last Post: 07-07-2010, 07:04 PM

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.