Author Topic: Whose NPI to use?  (Read 4128 times)

pt4billing

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Whose NPI to use?
« on: February 08, 2011, 06:08:22 PM »
Billing Medicare for physical therapy services: usually a patient will receive several procedures perhaps 3 x wk x 4 wks.  So Line 24 would cover say May 1 through May 31 for CPT 97530 for the total units performed that month.  The next line would be the same for CPT 97112 for the total units done that month.  The third line might be for CPT 97116.

My question is: whose NPI number is put in column J if there have been multiple therapists seeing the patient during that month?

I need some help with this ASAP.

Thank you.

Michele

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Re: Whose NPI to use?
« Reply #1 on: February 08, 2011, 06:30:12 PM »
I don't bill PT like that.  They need to know the exact dates of the service and using a range of May 1st - May 31st with say 12 in the units doesn't provide enough info for most carriers to process.  Most will request the exact visit dates.  I bill each procedure for each visit on a separate line, with the rendering provider NPI on that line.

Michele
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pt4billing

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Re: Whose NPI to use?
« Reply #2 on: February 08, 2011, 11:28:11 PM »
Thanks for the reply. 

I'm wondering though if Medicare is different.  On the Medicare form CMS-1500 there are only 6 lines and they specifically have the dates from (MM DD YY) and to (MM DD YY).

Would you do this different than your first answer?

Thanks for any input.

Michele

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Re: Whose NPI to use?
« Reply #3 on: February 09, 2011, 08:24:10 AM »
No, I bill PT to Medicare.  If you use a date range it is denied asking for the specific dates.  PT sometimes requires multiple CMS forms to report several visits.  We bill them out weekly, so if the patient has 3 visits a week, it sometimes takes 3 separate forms.

Michele
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pt4billing

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Re: Whose NPI to use?
« Reply #4 on: February 09, 2011, 10:37:26 AM »
Thanks, that's very helpful!


Mia

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Re: Whose NPI to use?
« Reply #5 on: April 18, 2011, 11:28:40 AM »
Good Afternoon,

I have purshsed a  couple of your books and love them. I just started my billing business and although I have 20 years of experience. I have so many Questions. But I will just ask you 1 for now. I will be dealing with several mental health and substance abuse facilites. Do I need to apply for my own NPI and if so how? Or do I just use the ones from them?

Michele

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Re: Whose NPI to use?
« Reply #6 on: April 19, 2011, 06:55:02 AM »
As a billing service you do not apply for an NPI number.

Glad you found the books helpful!  :)
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