Anna Weaver
Guest
The question we have is this:
Can an NPP see patients for an established patient preventive medicine visit and still charge it as an "incident to" or would they need to enter that on their own NPI.
We are having an ongoing discussion on this. Everything I have found says NPP's should not do a preventive without billing on their own NPI. Reasoning would be that it would be a new problem. However, there is also the feeling that if the physician saw the patient the first time or previously that it's not a new problem and since preventive are not problem focused it wouldn't matter, so it would be okay for the NPP to do a preventive visit. I haven't found any definitive documentation that says they can or cannot do this. Just that to bill incident to, they must not have a new problem, the physician must have seen them previously and have on going care of the patient.
Any one out there have anything they can add and help us out here? Any documentation would be helpful!!!
Can an NPP see patients for an established patient preventive medicine visit and still charge it as an "incident to" or would they need to enter that on their own NPI.
We are having an ongoing discussion on this. Everything I have found says NPP's should not do a preventive without billing on their own NPI. Reasoning would be that it would be a new problem. However, there is also the feeling that if the physician saw the patient the first time or previously that it's not a new problem and since preventive are not problem focused it wouldn't matter, so it would be okay for the NPP to do a preventive visit. I haven't found any definitive documentation that says they can or cannot do this. Just that to bill incident to, they must not have a new problem, the physician must have seen them previously and have on going care of the patient.
Any one out there have anything they can add and help us out here? Any documentation would be helpful!!!