Provider # Requirements

[Guest guest]

Can someone tell me if I hire a PT to work in my office, does he need to

have his own MC provider # to bill Medicare for services he provides if I am

always on site working or can his services be bill to Medicare under my

provider # as well?

Thank you in advance

Witt, PT

Segal & Witt Physical Therapy

Delray Beach, FL

_____

From: Rptboy@...

Sent: Friday, December 19, 2008 7:47 PM

To: wittpt@...

Subject: Re: read this

D,

I think we should confirm that we don't have to use 's provider# if she

is supervised by me. She did a great job Dx a BPPV and correcting it today.

If pt requires follow when she is out next week I'll send her to you.

Have a great weekend

P.S. Thanks for the impotence meds today. Unfortunately I can't put them to

good use.

T

In a message dated 12/19/2008 6:13:01 P.M. Eastern Standard Time,

wittpt@... writes:

Fraud Case Supports APTA Positions on Appropriate Providers of Physical

Therapy Services

The recent arrest of a licensed Mississippi physician, who owned a clinic

that allegedly

<http://www.oig.hhs.gov/publications/docs/press/2008/MS_pt_case_oig_press.pd

f> fraudulently billed Medicare for $16 million for physical therapy

services, serves to remind APTA members that it is it is inappropriate for

unqualified individuals to provide physical therapy services. APTA's

positions

<http://www.apta.org/AM/Template.cfm?Section=Practice_Management3 & TEMPLATE=/

CM/ContentDisplay.cfm & CONTENTID=37638> on supervision and direction of

personnel state that physical therapists are the only professionals who

provide physical therapy interventions, and physical therapist assistants,

under the supervision of a physical therapist, provide selected physical

therapy interventions.

This case is part of a larger physical therapy fraud initiative between the

US Attorney's Office for the Southern District of Mississippi and US

Department of Health and Human Services Office of Inspector General. Most of

the cases involve the provision of services by unqualified personnel and

physicians who were not supervising billing practices.

_____

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