Advanced-practice providers can report services incident to an MD under a few circumstances.
Ray Painter, MD
I have a physician assistant working for me. My billing staff and I are in disagreement as to how we should charge “incident to;” can you help?
The issue of billing for services provided by the advanced-practice provider (APP) is a complex one. We will try and boil it down.
First, we will remind everyone that “incident to” services can only be provided in the office setting and require that the billing provider is in the facility and not otherwise engaged in a way that will prevent the billing provider from assisting with the patient when the “incident to” service is provided.
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An APP (PA or NP) can report services “incident to” an MD under a few circumstances:
Next: Visits that cannot be billed incident toVisits that cannot be billed incident to:
Send coding and reimbursement questions to Ray Painter, MD, and Mark Painter c/o Urology Times, at UT@advanstar.com. Questions of general interest will be chosen for publication. The information in this column is designed to be authoritative, and every effort has been made to ensure its accuracy at the time it was written. However, readers are encouraged to check with their individual carrier or private payers for updates and to confirm that this information conforms to their specific rules.
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