Medical Billing Forum

General Category => General Questions => Topic started by: bethj on October 23, 2017, 05:04:05 PM

Title: Incident to Billing for Pain Practice
Post by: bethj on October 23, 2017, 05:04:05 PM
My questions is, we are going to bill incident to for the PA that works in the office.  the physician is always there when the PA is seeing follow ups.  All other rules are applied, doctor sees patient first, establish care plan, etc...my question is, as I can not get a straighter answer from Medicare-Noridian....if we bill the office visit incident to under the physician...the office runs labs each time.  Do I bill the office visit under the doctor and the labs, etc under the PA's name.  when I look at medicares guidelines it says labs, ekg that incident to rules don't apply but I am worried about sending OV under the doctor and the labs, etc under the PA's info...
Title: Re: Incident to Billing for Pain Practice
Post by: Michele on October 24, 2017, 08:01:07 PM
I found the following MLM article that also states that labs do not apply:  https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/se0441.pdf