Scenario: multi specialty practice, ONE tax ID.. Ortho and PM&R. When a patient sees an ortho, and then sees the PM&R within 3 years, the PM&R can bill a new patient visit because the PM&R is a different specialty, and vice versa.

Is a nurse practitioner considered a "different specialty" as well? Is she able to code her initial visits with patient who have already been seen by one of the orthos or PM&R in the last 3 years?

Thank you

Scenario: multi specialty practice, ONE tax ID.. Ortho and PM&R. When a patient sees an ortho, and then sees the PM&R within 3 years, the PM&R can bill a new patient visit because the PM&R is a different specialty, and vice versa.

Is a nurse practitioner considered a "different specialty" as well? Is she able to code her initial visits with patient who have already been seen by one of the orthos or PM&R in the last 3 years?

Thank you

I work in an integrated physician’s office; we primarily perform chiropractic services but also currently have a Family Practice D.O. who performs H&P, Hyalgan injections, tendon injections, TPI, NCV/EMG, DME, allergy testing and shots, etc.

Our D.O. is retiring and a Nurse Practitioner will be taking his place. She will have a collaborating physician who will not be working in our office. The office manager and I have no idea how to bill for her.

We have no idea whose NPI to use and where on the HCFA form, if SA modifier is needed, etc.

I apologize in advance for my utter ignorance as I am primarily a coder.

Thank you SO MUCH for any help you can give me on this!

judi