Wiki If a mid level sees a new patient or new problem

[Twixle2002]

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]

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.