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Thread: physicians treating family members

  1. #1
    Join Date
    Apr 2007

    Default physicians treating family members

    AAPC: Back to School
    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!

  2. #2
    Join Date
    Apr 2007
    North Carolina


    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


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