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Wiki 2013 E/M & Incident To

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Lassal423

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Since the descriptions under E/M codes changed in 2013 to include NPP's, has anyone seen documentation from CMS that says the NPP MUST bill under their own NPI?

The question is whether or not a NPP can choose to bill either under their NPI, or as incident-to the physician (which is a higher reimbursement).

...and I assume that now they can bill for a New patient (where, in the past, the physician had to intiate the plan of care).

I'm looking for any citations on this.

Thank you!
Lora
 
this did not change the meaning of incident to. An NPP could always see a new patient as long as they bill under their own NPI. The incident -to definition still stands; An NPP must bill under their onw NPI unless the parameters of incident to have been met.
 
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