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Wiki Physician/NP visit frequency

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kcorral0829@aol.com

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Under 'Incident to' guidelines, how many times can a Nurse Practitioner see a patient before the patient needs to be seen by a Physician?
 
I do not believe there is any set amount of visits. The guidelines just state that a plan of care must be established by the supervising physician before the NP/PA-c can see them. Once the NP/PA-c starts seeing the patient, while the supervising physician is in the same suite, the supervising physician just needs to occasionally re-acquaint with the patient so to speak. But, if the patient is not getting improvement then it is always a good idea to have the supervising physician see the patient instead of the NP/PA-c.
Now, if the NP/PA-c sees the patient for a problem not in the original plan of care, the visit cannot be billed incident to. At that time, the NP/PA-c should probably have the doctor come in on the visit and address the new problem to establish a new plan of care to include the new problem.

Hope this helps!
 
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