If a mid level sees a new patient or new problem

Twixle2002

Guest
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Melbourne
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Our practice has mid level providers with their own clinic. There is a bit of discussion about reimbursement. If a mid level sees a new patient or new problem non incident to, then are all future reimbursements on the new diagnosis paid at 85%? I have always been told and have found this information to be true in the past just can not locate that information now.. TIA
 

mitchellde

True Blue
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13,537
Location
Columbia, MO
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2
Yes. You cannot meet the incident to definition if the MD did not see the patient first for the diagnosis and establish the plan of care for the diagnosis.
 
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