Hi all! I have tried to search through the wealth of knowledge here (and on the great and powerful Google) but I feel like I'm not quite nailing what I'm asking.
I took over managing an outpatient mental health group a while back and we do in-house billing. I have been doing it the way I was taught, but I have some nagging concerns that things aren't right.
Scenario: LPC billing incident-to under LICSW (I understand all the clinical parameters- be in building, see LICSW for treatment plans, etc etc) but what does THE CLAIM look like?
I was told to leave the LICSW as both the billing and rendering. We do have a group PTAN and group NPI, but obviously the LPC is not credentialed with Medicare.
Currently the 1500 form looks like this:
24J: LICSW NPI
25: group TIN
31: LICSW NPI
32/32a: group/group NPI
33/33a: group/group NPI
Specific guidance on those lines would be super appreciated. Thank you!