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Thread: PT & MD - help!

  1. #1

    Question PT & MD - help!

    AAPC: Back to School
    I have a physician our family practice office that knows a physical therapist. The PT has asked the MD to be an 'oversite' physician on some of his cases. Both have different tax id's, npi's, & locations.

    My MD wants us to bill these cases under our clinic's group NPI/Tax ID with the PT as the rendering provider.

    How do I link the PT's NPI to our tax id & group NPI?

    I am at a total loss here...
    Any suggestions are welcomed & appreciated.

  2. #2
    Join Date
    Apr 2007
    St. Joseph County, Indiana


    Good news/Bad news

    Good News: If the PT is going to be in the office with the physician, the PT can bill incident to the physician and no special credentialing is needed.

    Bad News: If the PT is NOT going to be in the office with the physician, then the PT will need to be separately credentialed as a member of your group. Medicare, Medicaid & many insurance plans separately credential PT's.

    Hope this helps.

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