Question: Our hospital billing and medical departments say that diagnoses we add to a claim for reimbursement must have a physician endorsement. We’ve researched our Local Coverage Determination (L26884) from National Government Services, the Ingenix Coding & Payment Guide for the Physical Therapist, and our Indiana Practice Act but can’t find a conclusive reference stating a physical therapist can make a treating diagnosis without an MD’s endorsement. Our billing dept suggested we send all POCs to the MDs for co-signature. But we’d rather not increase the paper flow to the MDs.
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