Medicare Billing- Incident to and Physicians Assistants

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CHRISTINAMARKEL
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Medicare Billing- Incident to and Physicians Assistants

Post by CHRISTINAMARKEL » Mon Sep 08, 2014 7:15 am

I am looking for some assistance with "incident to" and billing medicare. Does anyone have any knowledge about the billing process or currently have practices in place for billing for these situations? I need to find out what way the visits are billed and where the option to change the NPI\provider is located during the process. I also have a few other questions and I wanted to check to see if anyone could talk about it! Thanks so much!! :?:

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Gavin Walker
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Re: Medicare Billing- Incident to and Physicians Assistants

Post by Gavin Walker » Mon Sep 08, 2014 8:17 am

Typically, the physician would perform the first visit and then the non-physician provider would perform the procedures that they are qualified to do under the supervision of an employer physician on the subsequent visits. The physician must be in the same building and able to assist if necessary.
Gavin Walker
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fax: 417-763-6386

CHRISTINAMARKEL
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Re: Medicare Billing- Incident to and Physicians Assistants

Post by CHRISTINAMARKEL » Mon Sep 08, 2014 12:00 pm

Within the medical billing system is there a way to differentiate the service being provided by the PA?

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Gavin Walker
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Re: Medicare Billing- Incident to and Physicians Assistants

Post by Gavin Walker » Mon Sep 08, 2014 2:11 pm

Well on a CMS-1500 form there is a billing provider and rendering provider for each line item and these do not have to be the same provider. So whatever billing system you are using, there "should" be a way to specify a different provider for each.

247medicalbilling
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Re: Medicare Billing- Incident to and Physicians Assistants

Post by 247medicalbilling » Sat Sep 12, 2015 6:51 am

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