Last Modified: 11/1/2020
Location: FL, PR, USVI
Business: Part A, Part B
Q. When billing Medicare for services provided 'incident to' by a physician assistant (PA), should the supervising physician sign the PA's progress notes?
A. It is recommended the physician co-sign the PA's progress notes, as the physician's signature lends credence to the 'incident to' requirements having been met and the physician supervised the PA's work.
Note: A service billed 'incident to' is one furnished as an incidental but integral part of the physician's professional services during the diagnosis or treatment of the patient's injury or illness.
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