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Thread: Np moonlighting for dr

  1. #1
    Join Date
    Apr 2007

    Question Np moonlighting for dr

    AAPC: Back to School
    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. #2


    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
    Join Date
    Apr 2007
    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
    Join Date
    Apr 2007
    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.


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