Although Medicare Advantage claims are reimbursed PMPM and not Dollar-for-Dollar like straight Medicare FFS if an APC ( Advanced Practice Clinician/Non-Physician Practitioner)has an NPI# and credentialed with Medicare and not billing Incident-to should thery be identified on the CMS Claim/837 as the rendering/billing provider.
Thanks,
Phyllis Thomas, CPC-I, CRC
[email protected]