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Wiki Supervision requirements for mid-level provider

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CatchTheWind

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I cannot find clear information about Medicare "incident to" supervision requirements for telehealth visits. If the doctor is in the office, but the mid-level is working from home (or vice-versa, or they are both working from their own homes) does this mean we cannot bill incident to?
 
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Supervision of Incident-to Services: The direct supervision (i.e., on-site) requirement for Medicare incident-to services and for certain diagnostic tests can be performed via audio/visual real time communications technology.

Sounds like you'd need to do a group visit. Question....since Medicare allows for NPI numbers for PAs and APRNs, why would you bill incident-to?
 
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