everettrome
New
The DOS is prior to 2021. The setting is an outpatient clinic and the CC is, "Nurse Intake. Patient presents for chronic conditions. Please see A&P for HPI and other details." The RN will conduct a full visit; HPI, ROS, Exam, and assessment. For each condition addressed, RN will detail lab orders, referrals, or other plans. The RN does not have an advanced practice license, nor an NPI, and the MD will sign off on the note and bill it as if they (MD) performed the E/M themselves. The MD will later conduct another E/M, usually a 99214, within a week or two of the RN performing the 99201. So the question is, can an RN perform a 99201 E/M, or does a new patient E/M require an MD? Statements within the RN's assessment indicate MD is not present.