KStaten
Guru
Hello Everyone!
According to what I have read (in regards to incident-to billing), in order for a patient to be seen by the PA and still be billed under the doctor, the doctor must do the following:
1) Initiate the treatment
2) Continue to be "actively involved" in the patient's case/ plan of care.
QUESTION: How often must the physician see the patient (and document in the chart) to be considered actively involved? In other words, is there a more specific quantitative measurement of time, rather than a qualitative one?
Example:
Thank You in Advance!
Kim
According to what I have read (in regards to incident-to billing), in order for a patient to be seen by the PA and still be billed under the doctor, the doctor must do the following:
1) Initiate the treatment
2) Continue to be "actively involved" in the patient's case/ plan of care.
QUESTION: How often must the physician see the patient (and document in the chart) to be considered actively involved? In other words, is there a more specific quantitative measurement of time, rather than a qualitative one?
Example:
- During an initial visit, a patient is evaluated by a physician and is found to have osteoarthritis of the right knee. The doctor performs an injection into the knee and says he / she will see the patient on an "as needed basis."
- During the follow-up visit, three months later, the patient is seen by the PA, who continues with the same plan of care for the same diagnosis and injects the right knee.
- The patient returns to the office 1 year later with the same diagnosis and requests a repeat injection into the right knee. At this point, Must the doctor see the patient and document in the report? If not, How about in 2 years? 3 years?
Thank You in Advance!
Kim