requirements for global service code billing and the billing of the professional interpretation service only. global code billing is only allowed when the “same physician or supplier entity furnishes both the tc and the Pc of the diagnostic services and the tc and the Pc are furnished within the same mPfs locality.” in short, if these supplier entity requirements are met, and, as stated, they are both furnished within the same payment locality, then the location on the claim form can denote where the diagnostic test was performed and the global code can be billed. for those providers who do not meet this narrow requirement or who only bill the professional component, the “interpreting physician… must report the address and ZiP code of the interpreting physician’s location on the claim form.” there is one other exception noted for those interpretive services that are provided in an “unusual and infrequent location, for example, a hotel,” which would allow the service to be billed based on the medicare enrolled location where the interpreting physician most commonly practices. the definition of “unusual and infrequent location” is not further specified, and providers should ICD-10 will become effective on October 1, 2014. Have you utilized the HBMA resources to begin training staff and clients? TIME IS RUNNING OUT. A More Secure Way to store files 44 hbma billing • may. june.2013 500+ medical billing o ces nationwide use eBridge’s HIPAA-compliant, secure cloud-based document management system to streamline operations, save money, and reclaim space. t Provider scanning and retrieval t E! ortless work queue management t Quick and easy batch scanning t Compliant audit trails to track user access t Full-text keyword searches for ultra-fast retrieval Call 813-387-3870 today for a demo. Because your business is about more than just paper. www.eBridge.com 813-387-3870 LHaywood@eBridge.com
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