Medical Billing Forum

Billing => Billing => : NBlumental October 06, 2020, 07:30:33 PM

: No-Fault Billing
: NBlumental October 06, 2020, 07:30:33 PM
Good afternoon everyone.
I have a few questions in regards no-fault billing in NY.
When it comes to billing as a physical therapist or a chiropractor, which fee schedule do I follow and where can I get it?.
Do I only use CMS-1500 when billing WC? and if so do I need verification from them before billing?
Do I bill using NF3 if its not a W.C?
What do I attach to a NF3 bill when I send it to the insurance?

If I can get an answer here or via personal massage it would be very helpful, thank you.
: Re: No-Fault Billing
: Michele October 06, 2020, 11:12:50 PM
We bill both NF & WC on CMS 1500s.  Both use the NYS WC fee schedule which must be purchased (don't get me started!) from Optum.  http://www.wcb.ny.gov/content/main/hcpp/MedFeeSchedules/medfee.jsp 

I would highly recommend getting verification or authorization for treatment, otherwise you may find you won't be reimbursed.