tci Part B Insider - 2004 Issue 15

Part B Coding Coach: Want to Make an Extra $8 Each Time You Report 99213?

Follow 5 requirements and earn 100 percent NPP reimbursementIf you know whose identification number -- the non-physician practitioner's (NPP) or physician's -- you should bill under, you can ethically maximize your Medicare revenue. You should report the service incident-to the physician and claim 100 percent payment, the equivalent of an extra $8 for CPT 99213, when the in-office encounter meets these criteria:1. The Employees Belong to the Same GroupTo bill an NPP service under your physician's name, the same group must employ both parties. Both the supervising physician and the performing NPP must be employees, leased employees or...

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