Physical therapy billing question
I was contacted by a potential client and need some help understanding an
aspect of physical therapy billing.
The group is made up of physical therapists only (allowed in the state they
In review of several EOB's with redacted patient information, I noticed the
group is paid under their organization NPI under Medicare Part B, but each
line item does not show the physical therapist's individual NPI, it is
Besides therapy caps, modifiers, and what-not - what is unique about PT
billing that would allow the claim to pay under Part B (which means a CMS
1500 submission) without identifying the individual provider's NPI?
Thanks so much,
Karen A. Hurley, BS, CMM, CPC, CNA
PO Box 409
Parrish, FL 34219-0409
Tel: (941) 776-4822
Fax: (240) 368-0059
Since 1996, Celebrating 20 years of Service to Physicians
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