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incident to services VA

SuperCoder Posted Fri 11th of November, 2011 17:37:57 PM

I have a newsletter from Medicare Part B answer book it states that the doctor must see patient first to diagnose problem it goes on to say that the first visit to the office under the incident to rules MCM2050B the md must perform the initial service and subsequently services frequently enough to reflect the doctors continuing active participaiton in and managment of the course treatment. Which tells me no the NP can't see a new patient in the office. Has this changed I posted the question and was told yes the NP can see a new patient.

SuperCoder Answered Fri 11th of November, 2011 21:57:54 PM

Yes, this type of newsletter must be there, as it was a myth by many practices, and most of the practices follow this with a fear of denials. But, it is not true.
A nurse practitioner can see a new patient under his/her own provider number.
Answer to Q.No.4:-
If an NP conducts a visit with a new patient, the practice must make a choice -- bill the visit under the NP's provider number or bill the visit under the physician's provider number, and have the physician, not the NP, perform and document the portions of the evaluation relevant to the choice of procedure code. The physician's signature or writing "agree" on an NP's evaluation will not suffice for Medicare. Other insurers may have different rules, but no insurer pays extra if a physician cosigns an NP's records

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