Results 1 to 4 of 4

MD Providing therapy codes

  1. #1
    Question MD Providing therapy codes
    Exam Training Packages
    I am going to take a stab at this question under this topic because I have an MD that seems 99% Medicare patients...

    She was asked by a Chiropractor to start seeing his patients, monitoring their care in general. He would also like to provide therapy to his medicare patients and bill it under her credentials (I am assuming similar to a physical therapy assistant would)

    Does anyone know where I can find some guidelines or does anyone know the guidelines to this? He (the chiropractor) said he knows someone that does it in Nevada, but we are in AZ LOL so I don't know if it is a state thing or what.... Thanks for any input or guideance.

  2. Default
    A Chiro providing PT to Medicare patients is not covered by Medicare. That's why he wants to bill those services under your doctor. See this OIG info on Physician's billing PT services here http://rds.yahoo.com/_ylt=A0oG7lGoLQ...9-02-00200.pdf

    You might also find this article helpful - http://blog.myphysicaltherapyspace.c...o-billing.html
    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    www.ambanet.net/AMBA.htm
    AMBACode Coding Software
    http://www.ambacode.net
    2015 AMBA National Medical Billing Conference
    http://www.ambanet.net/2015.htm

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    In addition to Cyndee's links...

    30.5 - Chiropractor’s Services
    (Rev. 23, Issued: 10-08-04, Effective: 10-01-04, Implementation: 10-04-04)
    B3-2020.26

    A chiropractor must be licensed or legally authorized to furnish chiropractic services by the State or jurisdiction in which the services are furnished. In addition, a licensed chiropractor must meet the following uniform minimum standards to be considered a physician for Medicare coverage. Coverage extends only to treatment by means of manual manipulation of the spine to correct a subluxation provided such treatment is legal in the State where performed. All other services furnished or ordered by chiropractors are not covered.

    Section 240 also provides Chiro information

    http://www.cms.gov/manuals/downloads/bp102c15.pdf

  4. Default
    That's great info - I was looking for it, but couldn't find it. Thanks for posting this!!
    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    www.ambanet.net/AMBA.htm
    AMBACode Coding Software
    http://www.ambacode.net
    2015 AMBA National Medical Billing Conference
    http://www.ambanet.net/2015.htm

Similar Threads

  1. LMSW providing consultation
    By flory@ceicmh.org in forum Behavioral Health
    Replies: 2
    Last Post: 08-12-2013, 08:23 AM
  2. NP providing Group Therapy
    By carol s harris in forum Behavioral Health
    Replies: 1
    Last Post: 02-02-2012, 12:40 PM
  3. Rad just providing guidance - demonstrates catheter
    By kandekane8 in forum Interventional Radiology
    Replies: 5
    Last Post: 01-16-2012, 05:57 PM
  4. Codes for Music Therapy/Art Therapy/Recreational Therapy
    By msmit424 in forum Behavioral Health
    Replies: 1
    Last Post: 10-06-2010, 06:29 PM
  5. NPP providing consults
    By LLovett in forum E/M
    Replies: 4
    Last Post: 02-04-2010, 08:53 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.