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Are nurses able to perform services incident to an NPP when the NPP is present in the office?

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Are nurses able to perform services incident to an NPP when the NPP is present in the office?

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A11. The incident to requirements apply to services incident to both the physician and the NPP. A nurse is able to provide a service incident to the NPP when the situation meets all requirements. If the nurse or auxiliary person performs E/M services, use code 99211. Q12. In the office setting the NPP performs a portion of an E/M encounter and the physician completes the E/M service. If the incident to requirements are met, the physician reports the service. If the incident to requirements are not met, the service must be reported using the NPP’s NPI. In the above scenario, when incident to requirements are not met, can the physician bill for the service using only his/her documentation? If not, what is the reasoning. If the physician can bill, can he then use any documented PFSH or ROS if these were documented by the APN/PA? If they in fact perform a shared visit knowing a consult cannot be shared, can the physician then bill a consultation based on his documentation only? A12. A cons

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