Wiki Incident to billing

ridenut

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If a respritory therapist is considered incident to billing - in other words when the therapist sees a patient and bills it under the physicians NPI does that physician have to physically be in the office suite?
 
when you use a physician NPI in 24J as the rendering or supervising provider, that provider must be physically within the confines of the defined office suite area while the patient is being seen.
 
Debra - is it possible to find the exact location of this policy on the Medicare website? I haev been scouring it trying to prove this and am not having much luck - is it in the Claims Processing Manual?
 
This is addressed in a MLN Matters Article #MLN Matters Number: [FONT=Arial,Arial][FONT=Arial,Arial]SE0441.
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