New Company Setting - Override Default referring to rend. provider when Medicare Requirement

The " Override Default referring to rend. provider when Medicare Requirement" company setting allows a practice to enter a comma delimited list of provider IDs that should ignore the setting "Default referring to rend. provider when Medicare" in order to align with Medicare's implementation of a new guideline edit that allows Audiologist to provide certain services without the need of a referring provider. Once a provider ID has been set in the override settings, validation of the referring and rendering providers will NOT occur when that provider is designated as rendering on a Medicare claim.

Default Value:  Off (no values entered)

Options: 

  • Off (no values entered) - the Default referring to rend. provider when Medicare Requirement option is honored for all provider ID's.
  • On (Provider ID's added) -  validation of the referring and rendering providers will NOT occur for Provider ID(s) entered when that provider is designated as rendering on a Medicare claim.