Medical Billing Forum

Billing => Billing => : Jennifer October 25, 2021, 08:52:24 PM

: LCSW billing under a group
: Jennifer October 25, 2021, 08:52:24 PM

Hi,

I have a mental heath provider that is an MfT that is pulling a LCSW into her group. Can the LCSW bill Medicare being under this group?

Thank you! Jen

: Re: LCSW billing under a group
: Michele October 26, 2021, 10:05:40 AM

The LCSW must enroll (or be enrolled) in Medicare and then linked to the group.  Then they can bill Medicare.  The form is the CMS 855R which re-assigns the LCSW's benefits to the group.

: Re: LCSW billing under a group
: Jennifer October 26, 2021, 11:57:16 AM

Great thank you, so it does not matter that the group she is under can not bill to Medicare? Her group therapist is only an MFT.

: Re: LCSW billing under a group
: Michele October 27, 2021, 09:51:19 AM

The group would have to be enrolled with Medicare.  I'm assuming the group is some form of corporation and has an EIN and group NPI.  If so, the MFT needs to enroll the group, with the LCSW as a rendering provider.  The MFT cannot enroll in Medicare themselves, but the group can if it has eligible clinicians employed.