Robin Posted Thu 17th of August, 2017 16:31:07 PM
I have a situation where a disabled physician sends his PA for IP consults and he participates using telemedicine. He puts an attestation at the bottom of the note stating that he saw and evaluated the patient alongside the PA via telemedicine. I think this should be billed as an IP visit under the PA because the doc was not technically "face to face" with the patient which CMS states is a requirement for billing a shared visit but I wasn't 100% positive. The doctor is trying to bill the initial IP visit and I think that it is the wrong way to bill. I would love a second opinion on this because I have never come across this situation before.
SuperCoder Answered Fri 18th of August, 2017 04:40:40 AM
Greetings from SuperCoder.com!
Since the physician is off-site and is not physically available immediately for any emergency caused to the patient, you cannot bill under physician’s NPI. In this case, the PA would need to bill under his own NPI.
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