See and agree = no fee
The provider needs to document what they perform and describe in sufficient detail what part of the visit they are performing. I don't know what MAC carrier you fall under but Novitas-Solutions has a great Job Aid that describes what they expect. They expect the provider to perform and document at least 1 of components of an E&M service.
http://www.novitas-solutions.com/webcenter/content/conn/UCM_Repository/uuid/dDocName:00004983
In order to report the service under the physicians UPIN/PIN/NPI number, the physician must meet multiple requirements. Those requirements are:
-The physician must provide a face-to-face encounter with the patient;
-
The physician must document at least one element of the history, exam and/or medical decision making component of the E/M service;
NOTE: It is not sufficient for the physician to simply document seen and agree? or simply countersign. The physician must document what he/she personally performed during the E/M service;
-The physician must legibly sign the medical record to justify his involvement in the patient care; and
-The physician and the NPP must be actively involved in the Medicare Program and have a valid UPIN/PIN/NPI number for reporting purposes.
If any of the above are lacking in the patients medical record, then the service may only be reported using the NPP's UPIN/PIN/NPI. Payment will then be made at the appropriate physician fee schedule rate based on the UPIN/PIN/NPI entered on the claim. Please keep in mind that the following services may not be billed as split/shared services:
1.Critical Care services;
2.Procedures; and
3.E/M services performed in the skilled nursing facility (SNF)/nursing facility (NF).
If the E/M service is provided in the office/clinic setting and the E/M service is a shared/split encounter between the physician and the non-physician practitioner (NP, PA, CNS or CNM), then the service is considered to have been performed incident to, if the requirements of incident to are met, e.g., the physician has to do the initial evaluation and periodic evaluations to show that he or she is still involved in the case.