Good morning everyone! I have a question that I hope someone may be able to help me with. We have teaching physicians that cover the medical ICU and bill for those visits or procedures done while there. There is a nurse practitioner that is employed by the hospital that sees these patients as well and does a full documentation into the patients chart. However, the hospital does not bill for any visits or procedures done by the NP. The teaching physician sees the patient and then reviews the notes written previously that day by the NP and writes a couple lines of notes themselves (just as they do with the residents) and bill for the visit. Can a teaching physician use the notes of the hospital employed NP as part of their documentation or should they be doing a full documentation themselves? I contacted our compliance department and presented this question to them and their answer was the doctors cannot bill for anything done by a hospital employed NP, even if they supervised it, wrote a note behind it, etc. My physicians say this is incorrect information and all of the physician in the different ICU's document this same way in order to bill. I certainly don't want to be doing anything illegal but have been unable to find a definite answer to this situation. Any help will be greatly appreciated!