Lately, I have been receiving several questions regarding “incident to billing” for outpatient therapy services provided in the private practice setting. Essentially, can the services of a physical therapist (PT), occupational therapist (OT) or speech-language pathologist (SLP) be billed incident to a physician or a nonphysician practitioner (NPP) in the private practice setting? Also, people want to know if the services provided by a physical therapist assistant (PTA) or occupational therapy assistant (OTA) can be billed incident to a physician or NPP in the private practice setting? In this article, I will answer both questions as they pertain to Medicare outpatient therapy services and private insurance carriers.
Regarding Medicare outpatient therapy services, the services provided by a PT, OT and/or SLP in a private practice can
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.