JenWood
New
If we are billing for two physicians under the same NPI, do the fees attached to the codes need to match for both doctors? Thanks!
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Wiki Two doctors, one NPI
- Thread starter JenWood
- Start date
mitchellde
True Blue
are you talking the same group NPI? because you cannot have two providers with the same provider NPI.
JenWood
New
Yes, the group NPI, and they are under the same tax ID.
Last edited:
JenWood
New
Anyone?
GaPeach77
Guru
Are you asking should both providers charge the same amount for the same procedures?
JenWood
New
yes, the doctors are charging different amounts for the same procedures. I know they will usually get paid the same (fee for service) but does it matter if the claims that go out are different prices?
tjrice
Guest
These will be subject to edits and may require additional documentation. It will most likely be rejected. Unless extreme emergency requires simultaneous bilateral procedures by separate surgeons this will not fly.
JenWood
New
The procedures are not being done on the same patients. The doctors do not work together, just under the same tax id and group NPI, they have different billing departments and the billers price different amounts for the same procedure codes, for example, one doctor will price a 99213 at $159.00, the other doctor will price the 99213 at $110.00. Should the prices be the same going out to the insurance companies? Thanks.
mitchellde
True Blue
yes the fees for the same service in the same practice are to be the same amount, as long as the providers are of the same specialty.