Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 80.1

Reassignment Limitations

Last amended: 2003Year: 2003Length: 153 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 80.1: Reassignment Limitations | Justis AI