That is the same way I was reading it for here in Texas. Just needed to clarify.First, "signing off on notes" has nothing to do with billing incident to.
Second, the state you are located in has a lot to do with whether or not this is okay. For instance, here is an incident-to billing guide for mental health specifically for New York State. In it, they state that LCSWs may NOT supervise anyone for incident to (which would render both of your scenarios unable to be billed). The LCSW or LMSW, however, can perform incident-to services for a psychologist or psychiatrist.
The original question was specifically for mental health providers.For incident to Billing in California M.D. will be the billing NPI for the P.A. who saw patient. Does M.D. have to co-sign all the P.A.'s notes in order to be able to bill under the M.D.? Do other insurances allow incident to services billing? I am assuming the one's that follow medicare guidelines. Can anyone help please.