Author Topic: Need clarfication box 17  (Read 1863 times)

KARREN

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Need clarfication box 17
« on: December 29, 2011, 02:25:55 PM »
Clinic owned by Dr. S and an ARNP works their under the direction of a Dr Y (MD) twice a week at the clinic.  Dr Y also has her own private office location which she works at the rest of the week.

PT / therapy  services are being done on some patients.  The ARNP sees the pt, completes the paper work "Therapy Treatment Plan" which lists exam finding, modalities procedures, systoms, neurologic complaints, specific goals.  and the ARNP signs the form.  The MD reviews this form in the patient's chart.

seneraio 1.  Insurance bcbs (which only allows 1 pay to address per tax id#)
example:
dos 12/15/11  services done 99213, 97140 59, 97530 59, 97012, 97024

Need clarification who information prints in box 17, 17A, 24J, 25, 31,32 and 33a

A.  Dr Y tax id box 25, Dr Y npi in box 24J & name box 31, Dr Y provider info and group npi box 33a,
       Dr S facility info in box 32.       
              who name and npi goes in box 17, 17A ? 
                (would it be Dr Y or the ARNP)  or do i need anything in box 17 and 17a


Thank You for your help.
Karen

Michele

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Re: Need clarfication box 17
« Reply #1 on: January 01, 2012, 04:34:09 PM »

seneraio 1.  Insurance bcbs (which only allows 1 pay to address per tax id#)
example:
dos 12/15/11  services done 99213, 97140 59, 97530 59, 97012, 97024

Need clarification who information prints in box 17, 17A, 24J, 25, 31,32 and 33a

A.  Dr Y tax id box 25, Dr Y npi in box 24J & name box 31, Dr Y provider info and group npi box 33a,
       Dr S facility info in box 32.       
              who name and npi goes in box 17, 17A ? 
                (would it be Dr Y or the ARNP)  or do i need anything in box 17 and 17a


Who is performing the therapy services?  You said the ARNP completes the paper work, the MD reviews it, but who is performing the therapy?

I would think based on the info that:
17 & 17a have the ARNP
Dr. Y NPI & Name/Address go in 32 & 33
Dr Y EIN in 25

The name in box 31 & the NPI in box 24 J have to be the provider who rendered the services and that is unclear in your example.


I hope that still helped.
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Re: Need clarfication box 17
« Reply #1 on: January 01, 2012, 04:34:09 PM »