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Any information or contacts you have for the incident to/supervised billing or for urgent care would be fantastic. I am really concerned that our EMR/HER system is not billing these properly. Thanks so much!
See below. I’m not 100% as I don’t do any sort of billing, but from what I have been privy to, I’ve noted below.
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Thanks for getting back to me Laureen. For the supervising versus incident too billing, I think what would help me the most is what exactly should my 1500 form look like for each scenario. Since different ID numbers appear on various places, where would the nurse practitioners’ provider numbers show for each billing type? We have box J for the rendering, box 25 which I’m sure should always be my group tax id, box 31 the providers name and signature, 32, 32A, 33 & 33A all reflecting the location and billing information and id’s.
Individual lines should be MD.
The number at the bottom should be the group.
The CRNP’s NPI goes into the “notes” block (can’t recall the number).
For incident too, I interpret box J and 31 to be the physician’s information and numbers not the nurse practitioners’. For supervising, I interpret box J and 31 to be the nurse practitioners’ information and numbers and the physician’s information doesn’t appear at all since he is just reviewing charts. (Is it a State law that every three years you must see the MD when you normally see the ANP or just an individual practice preference?)
In both examples, I’m sure boxes 32, 32A, 33 & 33A always reflect the location of the service and the group billing information.
Our billing/emr system has a 3 selections, normal physician, rendering physician and supervising physician. Because of Athena’s credentialing process we are required to select a supervising physician. But since they use this system for anesthesia groups I think there is some confusion as to when and where the supervising provider actually comes into play. I hope all this makes sense, my greatest worry is the “under one roof” issue. I really appreciate your help. Carol
I do know for Athena specifically, the supervising MD is the billing provider-so if the desire is to bill under the MD, that s/he would go there. The rendering can be the NPP.
See below. I’m not 100% as I don’t do any sort of billing, but from what I have been privy to, I’ve noted below.
--------
Thanks for getting back to me Laureen. For the supervising versus incident too billing, I think what would help me the most is what exactly should my 1500 form look like for each scenario. Since different ID numbers appear on various places, where would the nurse practitioners’ provider numbers show for each billing type? We have box J for the rendering, box 25 which I’m sure should always be my group tax id, box 31 the providers name and signature, 32, 32A, 33 & 33A all reflecting the location and billing information and id’s.
Individual lines should be MD.
The number at the bottom should be the group.
The CRNP’s NPI goes into the “notes” block (can’t recall the number).
For incident too, I interpret box J and 31 to be the physician’s information and numbers not the nurse practitioners’. For supervising, I interpret box J and 31 to be the nurse practitioners’ information and numbers and the physician’s information doesn’t appear at all since he is just reviewing charts. (Is it a State law that every three years you must see the MD when you normally see the ANP or just an individual practice preference?)
In both examples, I’m sure boxes 32, 32A, 33 & 33A always reflect the location of the service and the group billing information.
Our billing/emr system has a 3 selections, normal physician, rendering physician and supervising physician. Because of Athena’s credentialing process we are required to select a supervising physician. But since they use this system for anesthesia groups I think there is some confusion as to when and where the supervising provider actually comes into play. I hope all this makes sense, my greatest worry is the “under one roof” issue. I really appreciate your help. Carol
I do know for Athena specifically, the supervising MD is the billing provider-so if the desire is to bill under the MD, that s/he would go there. The rendering can be the NPP.