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ubp- incident to for inpatient consults

Diana Posted Fri 12th of February, 2016 11:26:35 AM

Can we bill an incident to for a inpatient consult for a arnp with a supervising doctor? And if we cant,do you know when was it effective and if there is a website we can go too to read up on it. Thank you for any information that you can give us on this issue.
Diana

SuperCoder Answered Mon 15th of February, 2016 05:05:59 AM

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.

You may like to refer to the following document for "incident to" requirements:
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/se0441.pdf

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