We are in Texas and the nurse practitioner owns her own family practice clinic. She hired a collaborating physician as required by law. So the NP is NOT an employee of the MD. Now, to bill claims for the NP can she bill using the MD's numbers (incident-to) as long as she states she is the servicing provider (SA modifier) or is that fraudulant since the NP is not working for the MD?
We are being told by one side that it's fraudulant and by another that it's not. We of course don't want to bill anything incorrectly.
If the NP owns the clinic and simply has an MD b/c the law requires it, can she bill using the MD's numbers? And if so, would the NPs tax-id or NPI be ANYWHERE on the claim? Is using the SA modifier enough to tell the insurance company that the NP saw the patient?
One major concern is that if filed this way, the income is reported on the MD's tax-id number.
PLEASE HELP!!!! thanks....