Author Topic: NPIs used in integrated office  (Read 46 times)

lacycr

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NPIs used in integrated office
« on: January 19, 2018, 11:44:48 AM »
I work for a chiropractor and we are expanding. my chiropractor is opening a new additional location where he is going to hire a an additional chiropractor, a physical therapist and a nurse practitioner to work there as well. The billing will all be done from our first main chiropractic office. when billing for these other providers, we will use their npi for the rendering provider section on a hcfa form but will use my doctors group npi for the billing provider is that correct? we were hoping that all billing could be paid to our main location and then the other providers would be paid a salary. is that the correct way to bill? will there be complications with insurance when they see that a PT provided PT services as a rendering provider but that the services were billed to a chiropractors group NPI?

Second part of the question would be my doctor already has a group/type 2 NPI and obviously a tax ID associated with it. This new location will be under a new corporation and a new business name therefore he will be getting a new tax id for this business. Do we have to get a completely new separate type 2 NPI or can we use his original group NPI since thats where all the billing is being handled?

Michele

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Re: NPIs used in integrated office
« Reply #1 on: January 22, 2018, 10:09:33 AM »
If he is going to establish a new business - new EIN then he would need a new type 2 NPI for that new business/EIN which would mean the billing would be separate from the other location.  You can have the same pay to/correspondence address for both businesses so the mail will all go to the one location, but the billing would be done under the new EIN/NPI and the new business name.  So in effect, it is totally separate.  As long as all providers are linked to the group then there should not be a problem.
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