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Wiki Incident-to documentation guidelines

lmcenter

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How are other offices documenting when the NPP changes the plan set forth by the provider? The guidelines that I am reading say that as long as the provider has "active participation" in the patient's course of treatment, that is all that is required. I don't understand what that means for documentation. Can the NPP document she discussed the plan alteration with the provider and that meet the requirements? Or does he need to document his own note?

I understand that shared visits are not allowed in the outpatient office setting, only in the hospital setting, so I am a bit confused as to what is proper documentation in order to bill under the provider and not the NPP.

Any guidance is appreciated!

Lisa
 
The guidelines state that if a patient mentions a new problem during a follow-up visit for a problem with an established plan of care, the visit cannot be billed incident-to. The provider needs to document.
 
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