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Forum - Questions & Answers

May 20th, 2014 - kcronin

Nurse practitioner billing

Can an NP working at a Clinic in Mass, pos-22, bill out Incident To?

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May 20th, 2014 - dsteed   141 

re: Nurse practitioner billing

Incident to is not really applicable in a hospital setting. The NP should bill out under his/her own #.

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May 21st, 2014 - Codapedia Editor 1,399 

re: Nurse practitioner billing

Absolutely agree with Dorothy. Incident to is not used in facility. Shared services allowed.

If you type the word "shared" into the search box you find this article:

http://codapedia.com/article_356_Shared-services.cfm

Also, type in "incident" for articles on incident to.

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May 21st, 2014 - LBAROGIANIS 250 

re: Nurse practitioner billing

We have a PA-Physician Assistant in our office and when she does rounds in the hospital and the doctor comes in after and signs the chart, he will get credit for it. If she is the only one seeing the patient, then she gets credit for the visit. Hopefully you have her in your contracts or else she will be out of network.

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May 21st, 2014 - Codapedia Editor 1,399 

re: Nurse practitioner billing

Co-signature is not sufficient to report under the physician's NPI in the hospital. Read the article on shared services.

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May 21st, 2014 - LBAROGIANIS 250 

re: Nurse practitioner billing

Sorry I wasn't more clear, our doctors see the patient as well and amends the records to his recommendations or what not. The PA is mainly doing the leg work, getting the H & P and such..

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