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Thread: NP and MD initial visits?

  1. #1

    Red face NP and MD initial visits?

    AAPC: Back to School
    I have a situation where my NP saw a patient in a nursing home and coded as an initial visit. Two days later, the patient was transferred to a hospital, where our doctor saw her and coded as an initial visit. They both work under the same umbrella NPI. Is this okay, or does the doctor need to code differently?

  2. #2

    Default Cpc

    I do not think that NP can bill for an initial visit in a SNF as a CMS requires the physician to do the Initial comprehensive visit. I have heard that the NP can see the resident prior to the physician's initial visit and bill as a subsequent visit, but I am still trying to find that in writing. I would be interested in seeing other responses.

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