What is CP (Clinical Professional) Billing?
CP (Clinical Professional) Billing represents professional services provided by a Pathologist as the Laboratory Director of the performing laboratory. The Hospital bills the patient for the technical service, the Pathologist can bill the patient, or the patient’s insurer for rendering a professional clinical pathology service.
Pathologists call upon their training, skill, and professional judgment to provide and ensure timely and accurate test results and other information for use in the diagnosis, prevention, or treatment of an individual patient’s medical or physical condition. Like all physicians engaged in the practice of medicine, pathologists are responsible to each and every individual patient for the physician care they render.
The Pathologist-Director of a Hospital Clinical Laboratory provides Professional Services in:
The National Provider Identifier (NPI) is a unique identification number for use in standard health care transactions. The NPI is a new number that will be issued to health care providers and covered entities that transmit electronic transactions (e.g., electronic claims and eligibility verification) through the National Provider System (NPS). As of May 2005, the National Provider System, an entity established by the federal government, began issuing NPIs to providers that apply and qualify for one.
This identifier, which fulfills a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), must be used by health plans and health care clearinghouses in HIPAA standard electronic transactions by May 23, 2007.