Wiki Incident to; specifically arnp

[maryann1224@bellsouth.net]

We are a cardiology office and if our ARNP sees an established patient in the hospital for a consult for AFIB; however this patient hasnt been treated for this AFIB for several years, would this be considered a new problem, or length of time does not matter?

What are the guidelines for our ARNP to do a consult or follow up in the hospital, does our Dr need to do a physical exam on each of these or just co sign on the ARNP note?

Any help is greatly appreciated.

 

[mitchellde]

you cannot bill incident to for hospital encounters. However for an established patient you can bill a shared encounter. This means the physician must have a face to face visit with the patient on the same day as the ARPN encounter and have his own note and then you may bill using the ARPN note as well as the provider note for the encounter level. This must be more than a provider co signature on the ARPN note.