Results 1 to 6 of 6

regarding billing under supervising Dr

  1. #1
    Question regarding billing under supervising Dr
    Medical Coding Books
    I have a situation where the provider has midlevel providers and they bill the insurance under the doctor as Supervising. Which the insurance allows. It is my understanding that the doctor must be present in the office in order for the midlevel to bill for the patients they are seeing.
    I need some clarification on this to prove to the doctor he must be in the office. Does anyone know where I may find this or am I wrong?
    Thanks for any help.
    MonaLisa LaBonte CPC

  2. #2
    Ann Arbor, Michigan
    Red face Incident to services
    On the wps medicare website, type in "incident to services" its, it will give you all the specifics!
    Amber V. Logan
    Preferred Medical Mgmt. Solutions

  3. #3

    Starts midway down on page 78.

    You are correct, they must be present in the office/suite along with a few other requirements.

    Laura, CPC, CEMC

  4. #4
    These rules also apply to commercial insurances also am I correct? The office feels that with the commercial ins it is ok if he is not there.
    I say no.
    MonaLisa LaBonte CPC

  5. #5
    Probably depends on the carrier, I would look on their website or call them and ask.

    We always follow the CMS guidelines for incident to regardless of payor so I have never checked with any of our commercials on this. The only office I currently have that this applies to is 85% Medicare/Medicaid sorry I can't be more help on the commercial side.

    Laura, CPC, CEMC

  6. #6
    thank you for the help
    MonaLisa LaBonte CPC

Similar Threads

  1. Coding/Billing Supervising Position Available
    By rosconreesy12 in forum Employment General Discussion
    Replies: 0
    Last Post: 12-11-2013, 10:31 AM
  2. Experienced Billing/Coding/Supervising
    By mbourdeau in forum Employment General Discussion
    Replies: 0
    Last Post: 05-15-2013, 06:19 PM
  3. Replies: 1
    Last Post: 04-25-2012, 12:49 PM
  4. Billing for "supervising" services?
    By Jlanglais in forum Family Practice
    Replies: 6
    Last Post: 08-11-2010, 09:37 AM

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.