The whole concept of incident to billing is that the visit is incident to the physician having already examined the patient for the same dx. Billing under the physician is real tricky stuff and under constant review. My answer is always the same, If the physician has no m,aterial participation in the care of the patient for the same problem then bill using the NP number. Others will tell you that is Medicare only and that commercial insurance sees it different. Medicare is used as the gold standard and most every carrier will defer to what Medicare has set up.
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