Can the PA see the patient and bill at 100% under the physician’s NPI number for medicare patients?
The MD must see the patient initially AND dictate the first visit. If the PA sees the patient after this, the MD must be in the building to bill under the MD’s NPI #. Use modifier for “incident to”. If a new condition is discovered by the PA, then the MD must see the patient the next visit to make the diagnosis, evaluate and dictate before the PA can bill 100% under the MD’s NPI #. Otherwise, it will be reimbursed under the PA’s NPI, at 85%.
Related Questions
- After an initial visit, what role should the physician have in a Medicare patients ongoing care while the PA see the patient "incident to?
- Can the PA see the patient and bill at 100% under the physicians NPI number for medicare patients?
- May a physician assistant (PA) see a new Medicare patient and bill the service "incident to?
