Medical Billing Forum

Billing => Facility Billing => : mcmsouth February 10, 2014, 04:21:51 PM

: PT submitted to Medicare
: mcmsouth February 10, 2014, 04:21:51 PM
For a clinic that provides physical therapy, PT, and services are provided by a licensed PT.  Can the services by submitted to Medicare & Medicaid under the medical Doctor that is credentialed, as they review and sign off on the chart?
: Re: PT submitted to Medicare
: Merry February 10, 2014, 06:29:00 PM
No, the services must be shown as delivered by the PT and the physician who referred the patient is the one who ok's the plan of care and signs the RX. The claim must show the referring provider with their NPI.
: Re: PT submitted to Medicare
: shanbull February 12, 2014, 01:38:36 PM
Also, if you/the PT are not already aware of the functional reporting requirements for Medicare, this will be helpful for you: http://www.functionallimitationreporting.com/#q01 (http://www.functionallimitationreporting.com/#q01)