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Billing for a Supervising Physician

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Michele:
Good point Linda!

rdmoore2003:
yes,,,thank you....  as a rule for medicare, if the M.P. is not within 15 minutes away,,, we will not see medicare client.    He is always here in the office so we have no issues.    good example: tomorrow he has been subpeoned to court which is over 2 hours away from office.   we have cx appts for most pts with medicare, the few that are remaining is being seen at no charge (only due to emergency situations)

PMRNC:

--- Quote ---yes,,,thank you....  as a rule for medicare, if the M.P. is not within 15 minutes away,,, we will not see medicare client.    He is always here in the office so we have no issues.    good example: tomorrow he has been subpeoned to court which is over 2 hours away from office.   we have cx appts for most pts with medicare, the few that are remaining is being seen at no charge (only due to emergency situations)
--- End quote ---

I didn't mean to imply all providers would do what mine did. I was making it a point that it COULD happen and you wouldn't know about it. It was just dumb bad luck that my client told me about his fishing trip and the LPC faxed over his daysheets on a day I knew the PHD was NOT even in state!  He tried to tell me he didn't know, but really that was a moot point in my opinion because fraud/abuse regs have NO tolerance or wiggle room for "ignorance"

aknittel914:

--- Quote from: PMRNC on February 28, 2011, 08:51:47 PM ---That is correct..let me just add something from experience with two providers I billed for ..same situation..both were supposed to be supervising. Make sure you look up the rules/regs on supervision..I found out mine were NOT on grounds at time of visit and that was one of the requirements. I didn't discover it until one day I got superbills from the provider with the LPC's signature and I knew the PHD (supervising provider) was away for 2 weeks! Turns out that it had been going on a LOT, but once I discovered it I had to stop billing for him since it would be considered fraud on my part as well as their's. I did end up getting a whistleblower's payment 3 years later :)  The other one I couldn't prove it but terminated him as soon as I suspected it. KNOW your supervision rules and be aware!

--- End quote ---

I was looking for information on supervising physicians and I came across this old post. Can you give me any advise as to how to find supervision rules/reg for the State of Florida. I am googling and googling and can't seem to find what I need. Thanks!

kristin:
I Googled "Florida regulations+supervising physician", and got this hit, as relates to PA's in Florida:

http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0458/Sections/0458.347.html

See section F:

(f) “Supervision” means responsible supervision and control. Except in cases of emergency, supervision requires the easy availability or physical presence of the licensed physician for consultation and direction of the actions of the physician assistant. For the purposes of this definition, the term “easy availability” includes the ability to communicate by way of telecommunication. The boards shall establish rules as to what constitutes responsible supervision of the physician assistant.


Because it mentions telecommunications, it would seem the SP does not need to be in the same location as the PA when the PA is seeing patients.

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