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NP Question

  1. #1
    Question NP Question
    Medical Coding Books
    Setting: In a physicians office. Can a nurse practitioner bill based upon counseling time? Under "incident to" rules billing under the physician number or when billing directly under their own number? We have found that NP cannot bill level 5 new or established patient codes directly under their own number. I don't know why, but I really have a block when it comes to NP's. Thank you for anyone who can help to put me back on the path of understanding.
    Michelle Wood, RHIT, CCS-P, CPC, CPMA, CEMC, AAPC Fellow
    2018 AAPC Columbus, Ohio Chapter Treasurer

  2. #2
    Kansas City, MO
    Yes, they can bill on time as "incident-to" or under their own number. They just need to make sure that they document their time correctly along with the reason for the counseling. "Greater then 50% of the 45 min visit was spent in counseling for . . . . " Also, medical necessity must be supported.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

  3. #3
    I completely agree with amjordan on this issue. You're fine to bill for time with the provisions she has given.

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