Wiki NPP "Incident To" Billing

[jessmtxstate]

We would like to begin billing our Nurse Practitioner's services to Medicare as "incident to", do we need a modifier to distinguish these services (such as -SA) for services performed in office? Does the .EHR medical record need to have the supervising physician's sign off (physician's signature on final document) to support these services?

 

[mitchellde]

Your state rules will tell you when and how many records the physician must sign off. The Medicare manual tells you that if the services meet incident to requirements the the physician in your practice that originally saw the patient for the same dx goes in field 17 and the provider that is on site during the encounter goes if 24j. If the NP is seeing a new patient or new problem, or changing a treatment plan, then you use the SA modifier and the NPs NPI goes field 24J