Future incident to when PA/NP does initial visit?

alincoln

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Midlothian, VA
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Was wondering what everyone thought about this situation:
PA/NP sees patient for the first time (consult/new patient) and has Medicare. The plan of care is developed and documented by the PA/NP. The service is billed independently under the PA/NP NPI number.

Do all future visits with this patient, for the same problem, have to be billed independently?
What if a physician sees the patient at the second visit and then the third visit they see the PA/NP again? Can that third visit be billed under incident to/the physician's NPI number, assuming that the physician was in the office providing direct supervision?

Thanks for any opinions!
 
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