Are physicians and physician groups affected by the OBE policy?
No. Most claims for excluded optional benefit services billed by a physician or physician group remain reimbursable on or after July 1, 2009. However, these claims will be denied if the rendering provider is not a physician. Since services provided by fabricating optical laboratories are excluded in the Medi-Cal Program, eye appliances (e.g., eyeglasses) and related items will not be reimbursable by physician and physician groups on or after July 1, 2009.
Related Questions
- Do home care physicians bill "incident to" under the Medicare Policy Chapter 15, Section 60, Services and Supplies Furnished Incident to a Physicians/NPPs Professional Service?
- Are Licensed Clinical Social Workers (LCSWs) affected by the OBE policy?
- Are physicians and physician groups affected by the OBE policy?
