tbragg36
Networker
Hi, I have a general question about a provider submitting claims under their NPI for treatment for themself. The MD works for our company. The Techs performs the EEG on the MD and the company has been submitting these DOS for treatment to the doctor into the insurance carrier with the doctor's NPI in box 24j on the CMS1500 as the rendering provider. Doesn't that suggest that the doctor is treating himself? Plus, isn't the doctor supposed to be supervising and be there in case of an emergency? What would happen if the emergency was him during treatment and he's the doctor on staff? I did find the AMA code of Ethics Opinion 1.2.1, but does anybody have any thoughts on this? Thank you, Teresa