Go Back   AAPC Medical Coding & Billing Forums > Compliance > General Discussion
Reload this Page incident to billing question- help
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 04-07-2012, 08:38 AM
ridenut ridenut is offline
Networker
  
Join Date: Apr 2007
Posts: 34
ridenut is on a distinguished road
Default incident to billing question- help
ok - NP does vein therapy in our office while the doctor is also in the office suite. Should I use the Doctors or the NP NPI in box 24J for the highest reimbursement.
The NP has already assigned Medicare benefits to the practice NPI.

My understanding is that if the NP sees a patient while the doctor is not in the office I would bill the NP NPI in box 24J as the rendering provider.

Please help!
Reply With Quote
  #2  
Old 04-07-2012, 08:48 AM
mitchellde's Avatar
mitchellde mitchellde is offline
True Blue
  
Join Date: Apr 2007
Location: Columbia, MO
Posts: 7,146
mitchellde will become famous soon enoughmitchellde will become famous soon enough
Default
The physician must also be the one that has previously seen this patient for this problem and has a written plan of care for the treatment being rendered by the NP, as well as being on site. If all those stars line up for you then yes you may bill the service as incident-to. If even one criteria is missing then you bill under the NP.
__________________

Debra A. Mitchell, MSPH, CPC-H
Reply With Quote
  #3  
Old 04-07-2012, 09:38 AM
ridenut ridenut is offline
Networker
  
Join Date: Apr 2007
Posts: 34
ridenut is on a distinguished road
Default
Thanks that clears it up!
Reply With Quote
Reply

« Previous Thread | Next Thread »
Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 02:25 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2013, Jelsoft Enterprises Ltd.
Copyright ©2011, AAPCAd Management plugin by RedTyger

© Copyright 2013, AAPC