2believe
Contributor
Can an NPP bill incident to for United health care
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki E/m incident to physician and npp
- Thread starter 2believe
- Start date
mitchellde
True Blue
As long as the incident-to rules have been met, yes. It must be a followup visit to a physician encounter, with the physician's plan of care stated in the medical record and the physician must be in the office suite area at the time of the encounter. IF United tells you they do not follow the incident to rules, then you will need a written policy from them stating this, and that they acknowledge that the provider may not be in the office nor have ever visited with this patient in the past.
It is serious business to bill using the physician NPI in field 24J when they are not in the office, and have not established a plan of care for this patient.
It is serious business to bill using the physician NPI in field 24J when they are not in the office, and have not established a plan of care for this patient.