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INCIDENT TO FOR A NP IN GI OFFIC E

Tira Posted Wed 28th of July, 2010 03:32:05 AM

CAN A NP SEE A NEW PT OR CONSULT UNDER INCIDENT TO?
DOESN'T INCIDENT TO MEAN THAT NP WILL BE SEEING PT WHILE
PHYSICIAN IS IN THE SUITE, SUPERVISING.

SuperCoder Answered Wed 28th of July, 2010 08:28:41 AM

An NP can see a new patient for an office visit or for a consult but based on the patient's status the encounter does not meet indicent to requirements. Therefore, you should instead report the service under the NP's NPI, not the gastroenterologist's.

Incident to requires:
the physician provide direct supervision, which means he must be immediately available (meaning on the same floor or office suite; he does not have to be in the exam room)
the patient and problem are established (meaning the MD must have already treated the patient for the problem and established a plan of care.

Jen Godreau, CPC, CPEDC

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