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Comment by aintgonnatakeit

2 years ago

Forgot one. The doctor who looked at the X-ray practices under one ID on Sundays, another ID MWF, and another T,Th,Saturday. In each case he’s also part of a different provider group. He might still have more than 9 TINs or NPIs under which he bills, all with different rates. How much does it cost to have this doctor interpret your x-ray?

I think you're far off base here. An X-Ray will never come on more than 2 claims. It only has two parts, an interpretation and a facility fee. You are right it is confusing. It is true that billing context (as part of a grouper/stand alone) needs to a part of the publication of the files. However, that has nothing to do with the author raising valid points of inconsistency that can make the data unusable.