Does anyone know of any regulations regarding physicians treating family members? Our billing company bills for a PT(who owns the practice) that treated his parents. Also, this particular PT was treated by another PT in his practice. Any insight offered would be greatly appreciated!
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki physicians treating family members
- Thread starter kparkhurst
- Start date
RebeccaWoodward*
True Blue
I can tell you that Medicare will not pay for this...
D. Charges for Provider Services
Payment is not made under Part A or Part B for items and services furnished by providers to immediate relatives of the owner(s) of the providers. This exclusion applies whether the provider is a sole proprietor who has an excluded relationship to the patient, or a partnership in which even one of the partners is related to the patient.
Section 130
http://www.cms.hhs.gov/manuals/Downloads/bp102c16.pdf
D. Charges for Provider Services
Payment is not made under Part A or Part B for items and services furnished by providers to immediate relatives of the owner(s) of the providers. This exclusion applies whether the provider is a sole proprietor who has an excluded relationship to the patient, or a partnership in which even one of the partners is related to the patient.
Section 130
http://www.cms.hhs.gov/manuals/Downloads/bp102c16.pdf