plan of care

  1. KStaten

    Wiki Physician's Presence Requirement for Incident-To Billing

    Hello Everyone! :) I would appreciate confirmation on a couple rules regarding "incident-to" billing, as I have heard some variations over the years. 1) It is to my understanding that the physician who established the plan of care MUST be present in the same office (same floor)/suite in...
  2. KStaten

    Wiki What qualifies as a "change" in the plan of care for Outpatient Incident-To Billing Rules?

    Hello Everyone! 🙂 Soo.... Incident-to Billing can be tricky, as even references sometimes vary in their wording/ interpretation of the rules. It has been to my understanding that any time a change is made in the physician's current plan of care, it no longer qualifies as incident-to services...
  3. KStaten

    Wiki What Designates an "Active Involvement" in Plan of Care?

    Hello Everyone! 🙂 According to what I have read (in regards to incident-to billing), in order for a patient to be seen by the PA and still be billed under the doctor, the doctor must do the following: 1) Initiate the treatment 2) Continue to be "actively involved" in the patient's case/ plan...
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