lynnmathis
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We received a question from a physician office and there are two different answers we have received internally:
question: we are a practice with PCP's and Specialist. We refer from our pcp's to our specialists. we want to know if we can bill them as new patients.
answer 1: yes, they are new to the specialists bill as a new patient
answer 2: no they are billing under the same TIN therefore the patient is not new to the practice, the patient is established.
-i think the 2nd answer is correct as i am looking for the official answer from medicare that type of scenario is not discussed. where can i find the information that supports answer #2. thx guys!
question: we are a practice with PCP's and Specialist. We refer from our pcp's to our specialists. we want to know if we can bill them as new patients.
answer 1: yes, they are new to the specialists bill as a new patient
answer 2: no they are billing under the same TIN therefore the patient is not new to the practice, the patient is established.
-i think the 2nd answer is correct as i am looking for the official answer from medicare that type of scenario is not discussed. where can i find the information that supports answer #2. thx guys!