DecisionHealth, DecisionHealth - 2010 Issue 6 (June)

NPP Report: Audiologist services cannot be billed under physician's NPI

Medicare won't pay for an audiologist's services that are billed under a physician's National Provider Identifier (NPI) number, CMS clarifies in a transmittal to its payment policy manual. Historically, audiology services could be billed incident to a physician's services until Medicare changed its billing rules in 2008. CMS then required audiologists to have their own NPI (PBN 7/28/08). You may have been unclear with how to bill some patient scenarios you've encountered since then, but CMS is now clearing the air on its audiology billing policy.

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