tci Medicare Compliance & Reimbursement - 2004 Issue 38

Physicians: Incident-To Billing: Supervising Doc Doesn't Have To Be Plan Of Care's Author

The Centers for Medicare & Medicaid Services clarifies in Change Request 3460, dated Sept. 17, that another member of the same physician group can supervise a non-physician practitioner who is following the plan of care of a physician who isn't present. The supervising physician must bill under the same group PIN as the other physician, and must have signed a form 855R reassigning his/her right to bill to the group. Coders should identify the supervising physician "in 2310B loop" and list his/her PIN in REF02 and the IC qualifier in REF01, CMS instructs. When there's no "suite of rooms"...

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