DecisionHealth, DecisionHealth - 2017 Issue 10 (October)

Don’t bill incident-to when NPPs make plan-of-care decisions

Question: If a patient is being seen by a non-physician practitioner (NPP) for something like follow-up of sleep apnea and the NPP adjusts the settings of the continuous positive airway pressure (CPAP) device, could the encounter be billed incident to? The provider specifically documented “adjust CPAP setting as needed” in the initial note that established the plan of care.

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