It might help if you post the questions, or at least what the questions are in reference to. Is it regarding split/shared? If so, there are already several helpful posts on this topic.
The doctors are asking the following questions:
1) Both the doctor and the NPP are scrubbed in and performing insertion of a non-tunneled centrally inserted central venous catheter (36556). If both are scrubbed in, who's NPI is the charge billed under? Is there a rule to decide who "performed" the service and how should that be documented in the record?
2) Let's say the same procedure is being performed but this time the NPP is performing the procedure but the physician is standing next to them supervising the entire time (not in a teaching physician capacity). The doctor wants to know if the procedure can be billed under him because he was right there the whole time. (I told them no, it has to be billed under the provider who performed the service)
3) Once again, same procedure but this time the doctor performs the procedure. Can the NPP's write the note and the doctor attest to its accuracy and sign it? (It appears that Medicare allows NPP's to function in the capacity of a scribe as long as they have no part in the procedure)
4) If a PA is performing a procedure (36556 for example) and the charge is being billed under the PA, what are the supervision requirements for the doctor? Do they have to be in the room, in the hospital? This is in the state of Wisconsin.
Please note, I have done my research and am doing my best to figure this out. However, I have 8 doctors who don't believe me so I'm looking for confirmation that the information I have put together is correct and accurate. Thank you!