The Compliance Essentials for Multidisciplinary Success

Integration offers a tremendous opportunity—but only when done correctly. Missteps in employment classification, supervision, or billing can lead to costly penalties and regulatory headaches.

First, classify your providers correctly. Nurse practitioners, physician assistants, and physical therapists working in your practice should almost always be W-2 employees—not independent contractors. This ensures compliance with federal and state laws prohibiting fee-splitting and self-referral arrangements.

Second, maintain proper supervision. A chiropractor—or their staff—may never perform or bill for services “incident to” a medical provider’s NPI. Each clinician must bill only for services within their scope of licensure. Violations in this area can lead to accusations of practicing medicine without a license.

Finally, credential each provider under their correct taxonomy code. For multidisciplinary entities, codes such as Multispecialty (261QM1300X) and Physical Medicine & Rehabilitation (208100000X) signal legitimacy to payers and protect reimbursement.

When structured and supervised correctly, an integrated practice can become a powerhouse of patient-centered, ethically run, and financially sustainable care.

Learn more at MyBreakthrough.com.