RE: Adding Provider to PTPP

[Guest guest]

Hi, Brad -

A lot depends upon which type of Medicare Provider your practice is. IF you

are a PTPP ( " physical therapist in private practice " ) which is different

from an ORF ( " outpatient rehabilitation agency " ) then you may only provide

PT, and not OT. IF you are an ORF, a CORF, a HHA, a SNF, a Hospital, a

school, a Hospice, or a few more types, you may provide OT.

Since OT is a different profession from PT, an OT in Private practice (OTPP)

would be appropriate for the OT to own. All of your third party contracts

would need to be renegotiated to ensure that they will pay for these

services.

Hope that helps a bit.

Dr. Dick Hillyer

Dr. Hillyer, DPT,MBA,MSM

Hillyer Consulting

Cape Coral, FL 33914

_____

From: PTManager [mailto:PTManager ] On Behalf

Of BradleyA

Sent: Saturday, May 07, 2011 12:34 PM

To: PTManager

Subject: Adding Provider to PTPP

I am hoping to add an OT to my practice (PTPP). She has worked for a home

health agency but not for a private practice (Medicare). Can someone advise

me which Medicare froms need to be filled out to have her added as provider

with my practice?

I know at least CMS855R (Reassignment of Benefits). Will we also need CMS

855I (Individual PhySiCianS and non-PhySiCian PraCtitionErS) and 558

(Electronic fund Transfer)?

Thanks,

Brad Abrams PT,DPT

Saint Louis, MO