tci Medicare Compliance & Reimbursement - 2007 Issue 28

READER QUESTION: Make Sure Your PTs Meet New Certification Requirements

Should physical therapists bill under their own provider numbers?Question: Can a physical therapist bill Medicare for her own services, such as PT Evaluation, Orthotic evaluation, ADL evaluation and patient education? The referral would be from a physician of the same group.  New York SubscriberAnswer: Yes, physical therapists (PTs) can bill under their own provider numbers, says Pat Larabee, a coding specialist at InterMed in South Portland, ME. You can also have your physical therapists bill "incident to" your physician's services if they don't have their own provider numbers. If the physical therapist is a member of a...

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