Wiki Incident-To

[mattrobin]

I am having a hard time locating information on what documentation requirements are needed, in the office note, to support Incident-to?
We have NPP's who perform follow-up visits, once a plan of care is established by our Dr's. However, we are not clear what is needed to be reported in the notes, to establish that when the NPP see's the pt (the NPP does the note & signs the note), but the claim goes out w/ the Dr's name & NPI.. is there anything specific that needs documented in the note?
thanks!

 

[consultingbykristin]

CMS has great info on Incident to. Check the site...or search CMS guidelines for incident to.

 

[MAR23723961]

Incident to

For what I understand the note from NPP must fall under the definition of "direct supervision"(having the physician present in the office suite). NPP provider must document that he/she is following the supervising physician's previous treatment plan and no changes were needed.

 

[chimilej]

The Novitas Incident to tool:

https://www.novitas-solutions.com/w...showHeader=false&_adf.ctrl-state=xulskgyh6_30

CMS Policy manual, 60.1 - Incident To Physician’s Professional Services:
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c15.pdf

Hope that helps, I don't do any office visits, so I usually skip the "incident to" and go right to the "shared visit" policy section.