Wiki Incdient II billing and Physical therapy

[heatherweinmaster@gmail.com]

I have a question regarding Incident II billing with physical therapy visits for Medicare. My current practice will be merging with another group who has their own PT office. Their PTs are not credentialed with Medicare however the practice that owns them is. The physicians want to bill every PT visit as Incident II, we are "promised" the therapists are only seeing Medicare that is directly referred from their physicians and absolutely no outside referrals. My question is, Are they following Medicare guidelines by billing all visits Incident II?

Thank you for your help,
Heather W.

 

[mitchellde]

It is incident-to .. Meaning this encounter is incident to the physician encounter. There is not problem with this as long as physician in this practice is in the immediate office suit area while the patient is with the PT. the provider must have immediate access. This does not mean a separate building or a different floor of the same building.

 

[heatherweinmaster@gmail.com]

Thanks Debra!
How about Patient Care Summaries? It's my understanding that it has to be dictated by the physician to the therapist. Is that correct?