Billing > Billing

No-Fault Billing

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NBlumental:
Good afternoon everyone.
I have a few questions in regards no-fault billing in NY.
When it comes to billing as a physical therapist or a chiropractor, which fee schedule do I follow and where can I get it?.
Do I only use CMS-1500 when billing WC? and if so do I need verification from them before billing?
Do I bill using NF3 if its not a W.C?
What do I attach to a NF3 bill when I send it to the insurance?

If I can get an answer here or via personal massage it would be very helpful, thank you.

Michele:
We bill both NF & WC on CMS 1500s.  Both use the NYS WC fee schedule which must be purchased (don't get me started!) from Optum.  http://www.wcb.ny.gov/content/main/hcpp/MedFeeSchedules/medfee.jsp 

I would highly recommend getting verification or authorization for treatment, otherwise you may find you won't be reimbursed. 

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