mpisaniello
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PLEASE TAKE THE TIME TO ASSIST!!!! I will be so appreciative!!!!!We have MD's and Nurses ( MA or LPN's). I am having a problem finding a list of services that qualify as Incident To requiring that Direct Supervision must occur from a MD Physically Present in the building while the Nurse Visit Occurs. I am looking for 3 things. Are the Incident To and Non Incident To Examples below correct and where is it determined code by code if direct Supervision is required qualifying that service for Incident To Guidelines? So if someone says does PPD fall under Incident To - Where would we check? I am trying to encourage using resources rather than memorizing because we know that hour to hour something things can change in this new world.
Examples I believe require qualifies as Incident To:
93672
99211
Examples of nurse (MA) services that I believe do not not qualify Incident To:
Examples I believe require qualifies as Incident To:
93672
99211
Examples of nurse (MA) services that I believe do not not qualify Incident To:
- Lab draw only visits - Does Not Qualify Incident To - Does not require Direct Supervision therefore the claim can be filled under the nurses assigned MD whether he is inhouse or not at the time of the visit?
- Imunization only visits - Does Not Qualify Incident To - Does not require Direct Supervision therefore the claim can be filled under the nurses assigned MD whether he is inhouse or not at the time of the visit?
- 86580 PPD - Does Not Qualify Incident To - Does not require Direct Supervision therefore the claim can be filled under the nurses assigned MD whether he is inhouse or not at the time of the visit?
We want to make sure we are utilizing the flexability of certain nurse visits where the MD that the claim is filled under does not necessarily have to be in the building. For Example if they are on hospital rounds and we want to make sure that the services their assisgned nurse performed in their absense get reinbursed untheir name rather than a supervising MD in the office. I tracked the clarification to a simple standard. There are three types of supervision:
- General - Not necessary to be in the building during the time of service
- Personal: MD performed service himself
- Direct: supervising md in the building where services were rendered by the nurse
Incident TO is for Direct Supervision only. I thought I had found a cut and dry rull of thumb with the medicare fee schedule that has a collumn for Supervision Indicators. Problem is it is only for Labs ( Diagnostics ) How can their not be a way to see which services are tagged as requiring Direct Supervision?
Thank you in Advance!!!!