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Incident To-Question

  1. #21
    Cape Coders /Hyannis,MA.
    Lightbulb "Incident to" Glenda's rule of NP
    Medical Coding Books
    Hi there,
    What I teach my mid-level providers is just to remember the initials NP to know the services for which they have to bill under their own provider #

    -New Pt.
    -New Problem
    -No Physician present

  2. Default incident
    can np see patients in nursing homes?? if the np saw the established patient then she would be billing under her #. It really cant be incident to as the dr would not be at the nursing home at the same time she would be there. If that would be the case why use an np?

    Can you use split visits at a nursing home? for example the np sees the pt which is established and writes up the chart work and the dr signes off on this. in order to be split visits if allowed in a nursing home. shouldnt the dr have a face to face with the patient and not just sign off on the char.

    I am confused. any advise would be greatly appreciated.



  3. Question is a signature needed?
    Quote Originally Posted by jenn13088 View Post
    Our practice does the same. We have one doc listed as the supervising physician for the day that the NP's and our EPO clinic bill under UNLESS the attending is present in the office. It has helped us out tremendously!!

    Jennifer Sprague
    Syracuse, NY
    Is it required that the supervising physician sign the PA's documentation?
    If so, where can I find this info to show documentation to our physicians?
    also, are eletronic signatures exceptable?
    mkartrude cpc

  4. Default incident to
    you will bill with Dr B

  5. #25
    Vero Beach
    Default dx for kennedy terminal ulcer
    I'm looking for diagnosis for "kennedy terminal ulcer",is their one.\

  6. #26
    Quote Originally Posted by smuckers View Post
    I'm looking for diagnosis for "kennedy terminal ulcer",is their one.\
    Your posting in the wrong discussion group.
    Roxanne Thames CPC, CPC-I, CEMC

    "Remember the greatest gift is not found in the store but in the heart of true friends"

  7. Smile Incident to Services
    Im curious to know what the answer was for incident to services, if the supervising physician needs to sign the PA's documentation?
    If so, where can I find this info to show documentation to our physicians?

    I would appreciate any help.


    Wendy M.

  8. Question Documentation and Billing for RN or LP changing Foley
    If an RN is changing a Foley Catheter, under the presence of the ordering
    provider. Can we bill this service (facility charge only) this is a hospital based clinic. Would we use an E& M (99211 for the RN service) billing under the physcian who was present and placed the order?

    What documentation would be required.. our note by the RN identifies the name of the physcian and states that he was present. Is there any documentation requirements by the Physcian ..addendum or signature required as long as we have his order for this service?

  9. Default 99211 billable in facility based clinic
    Just wondering if an answer was found about billing a 99211 in a facility based clinic? Can only the facility fee be charged since it is the facility setting? Can indicent to requirements be fulfilled in a facility based outpatient clinic?


  10. #30
    Columbia, MO
    Incident to does not apply to the facility billing only the professional billing. A facility may bill a 99211 if the facilities requirements for that level have been met.

    Debra A. Mitchell, MSPH, CPC-H

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