Anna Weaver
Guest
I have 2 different scenarios, would appreciate any help with these. I can't find any documentation to render an answer.
Scenario number 1:
Patient is seen by PA and diagnosed. For future visits, then, this is not an “incident to” visit for the PA and should be billed under the PA's NPI. How do you keep track of this?
Scenario number 2:
Patient is seen by PA (billing incident to) for a follow up visit for dx of hypothyroid, hyperlipidemia, and muscle aches. While there, PA renders an additional diagnosis of new onset diabetes mellitus. Does this then negate the incident to billing and become a bill to be done by NPI for PA, or can the new diagnosis be considered a part of the incident to. What then will be the future for this patient with the PA, can he bill incident to if the physician then sees the patient and follows through with plan of treatment? How do the future visits get billed if the PA sees the patient?
Scenario number 1:
Patient is seen by PA and diagnosed. For future visits, then, this is not an “incident to” visit for the PA and should be billed under the PA's NPI. How do you keep track of this?
Scenario number 2:
Patient is seen by PA (billing incident to) for a follow up visit for dx of hypothyroid, hyperlipidemia, and muscle aches. While there, PA renders an additional diagnosis of new onset diabetes mellitus. Does this then negate the incident to billing and become a bill to be done by NPI for PA, or can the new diagnosis be considered a part of the incident to. What then will be the future for this patient with the PA, can he bill incident to if the physician then sees the patient and follows through with plan of treatment? How do the future visits get billed if the PA sees the patient?