I am a consultant. I have been challanged by a physician to find three auditors who oppose his interpretation of the incident to rules and agree with mine. I would appreciate your response and time.
This neurosurgeon believes that his PA is providing an incident to service when he, the PA, provides the internal medicine work up prior to the physician coming into the room to work up the focused portion of the visit.
I told him that I could not define a service provided prior to his service as incidental or integral. He disagreed. I am of the opinion that new problems may be documented by the physician on established patients and the established problems documented by the PA and that all may be billed as incident to.
Do you mind opining on the two opinions above?
I appreciate your help.
Valerie Rock, CPC, ACS-EM
Atlanta GA