Incident to billing

ridenut

Networker
Messages
62
Location
Fort Washington, MD
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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?
 

mitchellde

True Blue
Messages
13,532
Location
Columbia, MO
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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.
 

LoriCox

Networker
NAB Member
Messages
67
Location
New London, MO
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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?
 

dclark7

True Blue
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Hartford, CT
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This is addressed in a MLN Matters Article #MLN Matters Number: [FONT=Arial,Arial][FONT=Arial,Arial]SE0441.
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