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I need all the help I can get on this, we have a new physician to our cardiology group who will practice in our two locations. This new physician is not certified with Medicare yet for payment but is seeing patients. Both of our locations we have a primary physician that we use as the rendering physician and then put the new doctor in our mid level area for in house reports for us to see what he has done. Well one claim was sent to Medicare with the new doctor as rendering and Medicare is denying of course saying they do not recognize him. I don't think we should have to write off and I would think Medicare has something in place for situations like this. Can anyone tell me what they do or have done when in this situation? Thank you so much, Gail