Author Topic: Billing for a NY provider  (Read 1196 times)


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Billing for a NY provider
« on: November 05, 2013, 08:30:27 AM »
I'm a TPB in the state of NJ. I've been registered with them for 4 years now. I have been ask to do billing for a NY provider. Does anyone know if you have to register with the state like NJ?
Also I thought at one time I read something that NY you can't charge a percent you have to charge a flat rate is that true?
Before I say yes to the provider, I would like to make sure I have all my information correct and be able to provide a best services to them. . Is there any other information you all think I should know about billing chiropractic in NY before I take on a provider from NY. I bill for three chiropractors now in NJ.

Again Thank you all for your help, on this.


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Re: Billing for a NY provider
« Reply #1 on: November 06, 2013, 07:54:56 AM »
In NY it is illegal for healthcare provider's to enter into any type of fee-splitting arrangement. NY is one of the ones that are pretty cut/dry

Section 6530.19 - 19. Permitting any person to share in the fees for professional services, other than: a partner, employee, associate in a professional firm or corporation, professional subcontractor or consultant authorized to practice medicine, or a legally authorized trainee practicing under the supervision of a licensee. This prohibition shall include any arrangement or agreement whereby the amount received in payment for furnishing space, facilities, equipment or personnel services used by a licensee constitutes a percentage of, or is otherwise dependent upon,
the income or receipts of the licensee from such practice, except as otherwise provided by law with respect to a facility licensed pursuant to article twenty-eight of the public health law or article thirteen of the mental hygiene law
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers