Recent Posts

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Well if you are working without a contract then you would just have to notify them that you will be raising your rates.  I would ask them for a meeting.  Face to face is better.  Then just explain that in order to continue to provide the quality service you have been providing you will be raising your rates effective "_______".  Give them plenty of notice (at least 30 days).  Hopefully they are happy with you and will be ok with the raise.
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Billing / Re: billing
« Last post by Michele on February 19, 2018, 10:15:29 AM »
If you were not the one who had the work done, and the patient was over 18 I do not believe you have any liability.  Contact the dentist and advise them you were not the patient and you are not responsible.
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NPI Numbers / Re: Billing for LPC-IT
« Last post by Michele on February 19, 2018, 10:14:11 AM »
If the LPC is in training and is being supervised by another provider the billing would be done under the supervising provider's name and NPI.
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NPI Numbers / Re: NPI TAX IDs
« Last post by Michele on February 19, 2018, 10:13:04 AM »
Since you established an LLC with and EIN you should be able to use that as your group legal business name, EIN & NPI.  I'm surprised you used your individual NPI for the LLC though.  I would have thought Medicare would have required you to get a type II NPI for that.  But we have providers who hire others and have their benefits reassigned to them under their SSN and individual NPI.
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Insurance Payments / Re: Medicare Deductible
« Last post by Michele on February 19, 2018, 10:06:52 AM »
What state are you in?  Linda is correct but I'm just concerned about if Medicaid processed it correctly.  Why did they indicate "paid in full" if they didn't pay anything?
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General Questions / Re: Eligibility Check Software
« Last post by Michele on February 19, 2018, 10:04:38 AM »
I have not used either of those.  We actually do not use eligibility check tools.  Sorry!
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I have a very small billing company specializing in PT. I have local solo PT's and I like it this way for now. We have been working without a contract for 4 years and I am learning that my rate is too low. I realize that I risk losing these clients, but looking for a tip or two as to how to broach this topic with my clients. Thanks!
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Billing / billing
« Last post by jimmy38 on February 18, 2018, 10:43:23 AM »
I have a question ....can a dentist bill me for work done on my adult daughter? shes on my insurance shes 23 ..I did not sign anything saying I'm responsible for her medical bills...apparently she chose not to pay this dentist (work done a few months ago I guess) I just received a bill for it and its stating that I was the patient,,,Is that even legal??
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NPI Numbers / Billing for LPC-IT
« Last post by glatzp39 on February 17, 2018, 05:27:25 PM »
Can a provider bill for an intern under their NPI using a specific modifier.  provider is an LPC    the intern is an LPC-IT
Licensed Professional Counselor In Training.
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NPI Numbers / NPI TAX IDs
« Last post by glatzp39 on February 17, 2018, 04:19:59 PM »
Hello,
I have been in private practice for awhile but always with other groups.  5 years ago I went off on my own and started my own mental health counseling business. I established it (the business) as an LLC using my individual EIN
Using an individual EIN number and an individual NPI number. After 5 years, and in-network with up to 20 insurance/EAP's companies I am moving to change the individual practice into a group practice adding another licensed therapist.
I'm unsure if I need to establish a new group EIN tax number AND a new NPI - 2 GROUP number.  Or just an NPI or a new tax EIN.
Please help!
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