Last Modified: 11/23/2016 Location: FL, PR, USVI Business: Part B
Incident to FAQs
Can hospital visits provided by a nurse practitioner be billed as incident to his/her supervising doctor, as long as the doctor is also in the facility seeing patients?
If a new patient comes into the office and sees our physician assistant (PA), can he bill this as "incident to" the doctor who is also in the office seeing patients?
If a physician's assistant (PA) gathers initial information and the physician performs the examination and medical decision making, but the PA dictates the office note, do both the physician and PA need to sign the record for proper documentation?
When billing Medicare for injections that are provided "incident to" by a nurse practitioner (NP) or other non-physician practitioner (NPP), does the supervising physician have to "sign-off" on the injection?
Is there a tool to assist providers with understanding the Medicare incident-to requirements and to help apply the rules and understand documentation requirements?
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.