Results 1 to 2 of 2

NP/PA "incident to"

  1. #1
    Default NP/PA "incident to"
    Exam Training Packages
    We have recently spoke with the nurse practioners in our practice about established Medicare patient's with new problems and told them that they can not bill "incident to" for new problems/conditions that haven't already been addressed by the physician first. They have had mixed emotions and several questions.
    The question that most would like to know is:

    If a patient has a chronic condition which worsens and/or the symptom that the patient is coming in for is due to the chronic condition is it acceptable to bill "incident to" or should they bill under their own provider number?

    Any thoughts and/or recommedations are welcome...



  2. #2
    North Carolina
    Below is a great link for this information. At the top, in the yellow boxes, select "Billing in in an office or clinic setting". Within that page is a link for frequently asked questions. This should answer all your questions. But to answer your question...if it is a new problem...The PA/NP would need to bill under their NPI if they choose not to bill under "incident to".

Similar Threads

  1. Replies: 2
    Last Post: 01-04-2016, 04:53 PM
  2. Can we bill "incident to" if the doctor just steps in the room
    By CatchTheWind in forum Compliance General Discussion
    Replies: 1
    Last Post: 07-01-2014, 10:00 AM
  3. "Incident To" Florida (NEED ADVICE ASAP)
    By AB87 in forum Compliance General Discussion
    Replies: 11
    Last Post: 03-10-2014, 10:19 PM
  4. Multi-Layer Compression and "Incident to"
    By sjsantjer in forum Dermatology
    Replies: 2
    Last Post: 10-01-2013, 05:02 PM
  5. Medicare NPP billing "incident to"
    By dianneh in forum Medicare Regulations
    Replies: 1
    Last Post: 03-17-2011, 05:43 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.