Billing > Billing
Billing for a Supervising Physician
Sportsmom:
I'm billing for a mental health office, I just would like to make sure I'm billing for the Supervising Physician right.
The office has a LPC that sees Medicare clients since Medicare does not pay for LPC to see clients they have a Psychiatrist that over see him.
When I bill Medicare for the LPC I have the Psychiatrist name in box 31 for Supervising Physician, then in box 24 J I have the Supervising Physician Medicare number and the NPI is the Supervising Physician.
Is this the right way to bill for LPC? Thank you all for your help.
Michele:
Sounds like you've got it right!
rdmoore2003:
yes this is right. I have LPC's that are supervised by Medical Psychologist. You are doing it correctly.
PMRNC:
That is correct..let me just add something from experience with two providers I billed for ..same situation..both were supposed to be supervising. Make sure you look up the rules/regs on supervision..I found out mine were NOT on grounds at time of visit and that was one of the requirements. I didn't discover it until one day I got superbills from the provider with the LPC's signature and I knew the PHD (supervising provider) was away for 2 weeks! Turns out that it had been going on a LOT, but once I discovered it I had to stop billing for him since it would be considered fraud on my part as well as their's. I did end up getting a whistleblower's payment 3 years later :) The other one I couldn't prove it but terminated him as soon as I suspected it. KNOW your supervision rules and be aware!
Sportsmom:
Thank you all so much. I thought I had it right but always better to double check to make sure.
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