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ED Coding and Reimbursement Alert

Reader Question:

Can the Attending Bill For A NP's Procedure? Give Credit Where Credit is Due.

Published on Tue Dec 18, 2012

Question: An NP employed by the hospital wants to do sutures repairs in the ED and believes the ED group may bill for it if they are in attendance during procedure. Is this possible? What about for a PA when the chart is signed by the attending? Texas Subscriber Answer: No. There is no mechanism for an attending physician to bill Medicare for a procedure performed by a NP in a facility setting. Don’t be confused about applying the "shared service" visits concept for an attending supervising a NPP and after documenting a face-to-face encounter, reporting the service under the attending’s NPI. Remember that concept, as directed by Medicare Carrier transmittal 1780, only applies to E/M services, not to procedures.
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