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Billing Law


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I recently started working in a bariatric surgery private practice setting in Florida. My new supervising physician is asking for the law or statute that discusses billing under a PAs NPI vs a physicians NPI. He is not sure when he can bill under his NPI vs mine. Does anyone know a link where I can find this law? I have searched and am unable to find anything that clearly states this. Thank you.

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This also varies between insurances. CMS has a very finite rule for incident to verses independent billing. Some private insurers (especially those that see a PA as invisible) require all billing under the physician's NPI and some may force all under the PAs NPI (so they have an excuse to pay less).

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