Wiki incident to

[kristal_montanez@yahoo.com]

i have a question regarding the incident to billing. if the NP sees the pt with the supervising provider present and checks all of the other boxes as far as documentation and services, while also documenting that the attending provider is present, does the provider have to sign the note?

 

[csperoni]

I'm not 100% clear on your issue. Are the NP and the physician seeing the patient together? If so, that is not incident-to, and the physician should be signing the documentation.

If by "supervising provider present" you mean simply onsite, not actually seeing the patient, then incident-to could apply. I have never seen a MAC or commercial carrier (that allows incident-to) have this policy in writing for physician to sign. However, many practices and/or healthcare systems do have this as an internal policy for physician to co-sign. I would advise it as a "best practice".