Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 80.1
Reassignment Limitations
80.1 - Reassignment Limitations
(Rev. 1, 10-01-03)
SNF-507
Assigned benefits for physician’s services may not be paid to anyone other than the
physician who furnished the services, except:
•
To the employer of the physician who provided the service, if such physician is
required as a condition of his employment to turn over his fee for the service to
his employer. (See §80.2 below.)
•
To a facility in which the service is provided if there is a contractual arrangement
between the facility and the physician furnishing the service under which only the
facility can bill for the service. (See §80.3 below.)
•
To an organization, which furnishes health care through an organized health care
delivery system (e.g., a freestanding physician clinic, or prepaid group practice
prepayment plan) if there is a contractual arrangement between the organization
and the physician furnishing the service under which only the organization can
bill for the service.