There is much written on this.. for shared encounter go to CR1776 which was written on 02, it states that you may bill under the physicians numebr if the physician and NPP shared the patient as long as the physician sees the same patient on the same day and writes his own note, recently on the AMA website they gave examples of acceptable documentation, the physician signing the PAs note is not acceptable he must write something to the effect of I have seen and examined the patient and agree with......
As far as if they are not credentialed then you are correct, you cannot bill as incident to unless it meets the definition, that is it must be a follow up encounter and the physician must be on site. another CMS transmittital on this is CR148 which was put out in April of 04. I hope this helps, Good Luck!
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