Author Topic: Unlicensed Clinicians billing under a supervisor  (Read 233 times)

Brookeyz

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Unlicensed Clinicians billing under a supervisor
« on: April 13, 2018, 12:58:35 PM »
I work for an EHR for Mental Health provides. There is a lot of confusion in the organization that I work for about NPI's. So I have a few questions.

1. Do you need to be licensed to get an NPI

2. If you are unlicensed, can you bill under the supervisors NPI? If so, where does that info go on the claim?

3. If you are licensed, and billing electronically, you must have your own individual NPI correct? even if you are billing with a group NPI in box 33b?

Thanks!!!!

Michele

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Re: Unlicensed Clinicians billing under a supervisor
« Reply #1 on: April 16, 2018, 10:07:23 AM »
I work for an EHR for Mental Health provides. There is a lot of confusion in the organization that I work for about NPI's. So I have a few questions.

1. Do you need to be licensed to get an NPI

Not all specialties require a license to obtain an NPI.  However some do.  You didn't mention what types of providers these are (other than mental health).  Are they LPCs, LCSWs, PhDs?

2. If you are unlicensed, can you bill under the supervisors NPI? If so, where does that info go on the claim?

This is not in my scope.  However, I believe that while a provider is still working towards getting their license their services are billed under the supervising provider's NPI.


3. If you are licensed, and billing electronically, you must have your own individual NPI correct? even if you are billing with a group NPI in box 33b?

Thanks!!!!

There must be a rendering provider (individual) NPI showing who performed the services even when billing under a group NPI.


Hope that helps!

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