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Melissa Posted Thu 28th of September, 2017 09:51:20 AM
We have an Audiologist seeing patients on the same day as an office visit with our ENT physicians in place of service 22. For the Medicare patients, can we bill the office visit under the NPI of the ENT Physician and bill the Audiologist services under the NPI of the Audiologist
SuperCoder Answered Fri 29th of September, 2017 02:51:10 AM

Hi, 

For audiologists who are enrolled and bill independently for services they render, the audiologist’s NPI is required on all claims they submit. For example, in offices and private practice settings, an enrolled audiologist shall use his or her own NPI in the rendering loop to bill under the MPFS for the services the audiologist furnished. If an enrolled audiologist furnishing services to hospital outpatients reassigns his/her benefits to the hospital, the hospital may bill the Medicare contractor for the professional services of the audiologist under the MPFS using the NPI of the audiologist. If an audiologist is employed by a hospital but is not enrolled in Medicare, the only payment for a hospital outpatient audiology service that can be made is the payment to the hospital for its facility services under the hospital Outpatient Prospective Payment System (OPPS) or other applicable hospital payment system.

Audiology services are diagnostic tests, when furnished in an office or hospital outpatient department, they must be furnished by or under the appropriate level of supervision of a physician.

Hope this helps!

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