General Category > General Questions

Getting in network

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amelero:
I am an acupuncture physician and I have been successfully billing out of network codes for Physical therapy. But I want to hire a PT in order to bill in network and  medicare. Do I have to get in network with my corporate tax ID or just the other rendering PT's NPI? What if I want to stay out of network for myself but keep an employed PT in network, how do I do that? Thanks.

medauthor:
If you are billing in 33 using your "billing entity" address and NPI and Tax ID, then the "billing entity" must be in-network......if you are billing under the PT's NPI and name in block 33/a, then the check will be made out to the PT's name....and the PT's tax id must go in block 25.....

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