hsmith67
Guru
Practice owns MRI and a provider from outside the practice sends patient for MRI to our practice (reference MRI site essentially). MRI is scheduled/performed. Claim sent to patient insurance has the ordering provider listed on the claim as the Referring provider and Rendering provider is listed as a sports medicine physician of the practice that owns the MRI that never sees the patient. Image is sent to a radiology group that renders an A/P report and this is forwarded to the referring provider. Radiology group bills a flat fee to the referring provider. Is it appropriate to list sports medicine doctor (or any doctor at MRI practice) as the rendering when they never see the patient or image, render an A/P? What would be the appropriate way to bill insurance for this scenario - specifically "rendering provider"?
Thanks for any guidance,
Hunter Smith, CPC
Thanks for any guidance,
Hunter Smith, CPC