tci Part B Insider - 2010 Issue 42

Reader Questions: Can You Bill Under the 'House' Doctor?

Question: The doctors I work for asked me to bill a radiology procedure under the "on call/house" doctor rather than the doctor who ordered and performed the service because the ordering doctor is out of network with the patient's insurance company. They think because they are all in the same practice we can bill services under whichever doctor they want within the practice. Is this correct?Answer: Your doctors are not correct. You cannot bill under any doctor within a practice simply because they all belong to the same practice. You would be billing for services the doctor did...

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