Results 1 to 4 of 4

Np moonlighting for dr

  1. #1
    Question Np moonlighting for dr
    Medical Coding Books
    We have a nurse practioner working with a doctor at one of our clinics and wants to see patients on friday's but the doctor wants to take off on fridays, can she still see those patients. My understanding is the doctor has to be house to bill out charges for np. The np does not have her own mcr number, all her charges are billed incedint to under the doctor at the 85%. Now if she had her own mcr number we could let her see patients by herself or am i wrong? Thank you for your time.
    Lisa A Smith, CPC
    Corpus Christi, TX

  2. Default
    Here's a link that should give you the information you are looking for.

    E:\Coding Resources\Coding Info\Incident to Medicare_files\Incident to Medicare.htm

  3. #3
    Jacksonville, Florida - 90417
    Default Np moonlighting for dr

    Strictly from a Medicare perspective, the incident to rules require direct supervision. Per the Medicare Benefit Policy Manual 100-02, chapter 15, section 60.1 (B):

    Direct supervision in the office setting does not mean that the physician must be present in the same room with his or her aide. However, the physician must be present in the office suite and immediately available to provide assistance and direction throughout the time the aide is performing services.

    Maryann C. Palmeter, CPC, CENTC, CPCO

  4. #4
    North Carolina

    In addition to Maryann's comment, the NP could provide services within his/her scope of practice for your state. Your NP would need to become credentialed. These services would be filed directly to Medicare under his/her name, under their NPI #.

    Please refer to section 200, also.

Similar Threads

  1. moonlighting?
    By coderforlife in forum Employment General Discussion
    Replies: 6
    Last Post: 07-15-2011, 08:06 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.