Medical Billing Forum
General Category => General Questions => : Migualla April 22, 2015, 04:09:14 PM
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Ok, I am desperate for an answer; Is there a regulation or rule from Medicare or any commercial insurance that states a patient has to see a physician after so many visits or length of time? Example: Jane comes in for a new patient visit, she is seen on July 1st by a Physician. The Physician asks patient to be seen again in 3 months. Pt is scheduled with the NP for a follow up. NP says, pt doing fairly well but lets see you in 6 months. This continues for over a year. At any time, is it mandatory that the patient see the Physician again? Or, if patient chooses, can they continue to see the NP? HELP!!
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from a Medicare standpoint, I can tell you personally that I have never seen the physician and only the NP. I would imagine that each insurance plan has their own regulations and may be state specific
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I posted this in reply to this question on another board by you:
http://www.wpsmedicare.com/j8macpartb/training/on_demand/_files/2013-0723-incident-to-services-handout.pdf
Your answer is in that link.
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Thank you so much.. I am reading now.