Last Modified: 9/30/2016 Location: FL, PR, USVI Business: Part A, Part B
Signature requirements for progress notes FAQ
Q. When billing Medicare for services that are provided 'incident to' by a physician assistant (PA), does the supervising physician have to sign the PA's progress notes?
A. It is recommended that the physician co-sign the PA's progress notes as the physician's signature lends credence to the 'incident to' requirements having been met, as well as the fact that the physician supervised the PA's work.
Note: A service that is billed as 'incident to' is one that is furnished as an incidental but integral part of the physician's professional services in the course of the diagnosis or treatment of the patient's injury or illness.
Source: The Centers for Medicare & Medicaid Services (CMS) internet-only manual (IOM), Pub. 100-02 Medicare Benefit Policy Manual, Chapter 15, Section 60.1; First Coast Medical Review
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