Jenn030975
New
- Messages
- 8
- Best answers
- 0
I need some help! We currently have 2 Nurse Practitioners (NP) in our office that see patients. Our Billing Department is trying to figure out how to properly code for the charges that they give us.
We used to bill "Incident to" with the -SA modifier on all of the charges with the NP as the Billing Provider and the Doctor on duty as the Supervising Provider. However, several of the insurance companies were denying the claims due to the -SA modifier.
Then, we started billing the claims WITHOUT the -SA modifier on the charges with the NP as the Billing Provider and the Doctor on duty as the Supervising Provider.
Our concern is that usually once a patient begins seeing one of our NPs, they don't see the actual Doctors anymore. Is this correct or do the patients still need to see the Doctors every six months like they do when we use "Incident to"?
We used to bill "Incident to" with the -SA modifier on all of the charges with the NP as the Billing Provider and the Doctor on duty as the Supervising Provider. However, several of the insurance companies were denying the claims due to the -SA modifier.
Then, we started billing the claims WITHOUT the -SA modifier on the charges with the NP as the Billing Provider and the Doctor on duty as the Supervising Provider.
Our concern is that usually once a patient begins seeing one of our NPs, they don't see the actual Doctors anymore. Is this correct or do the patients still need to see the Doctors every six months like they do when we use "Incident to"?