How to Bill for Services Provided By a PTA or OTA
A question I often receive is how do I bill for services provided to a Medicare or non-Medicare beneficiary that were provided by a physical therapist assistant (PTA) or an occupational therapy assistant (OTA). The answer to the question depends upon your practice setting.
In a private practice setting (you submit claims on a 1500-claim form to the insurance carrier), the services of a PTA or OTA are billed
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When you say “billed under the NPI of the supervising/NPI of the facility” – Should the NPI go in the Supervising box or in the Treating box of the claim form?
Please look at the 1500-claim form of where the NPI goes. The NPI of the treating/supervising therapist goes in Box 24J of the 1500-claim form.
With the new Modifier rule for PTAs coming into effect soon, will the 15% reduction in reimbursement affect both private practice (Billing on 1500 claim form) as well as non-private practice settings (i.e. rehab agencies – billing on UB-04)?
Yes!
Does the PTA need to be credentialed to be able to bill MEdicare or non medicare
Please read the article as the article states how to bill for services provided by an assistant.