Is “incident to” the only way ARNPs and PAs can bill for outpatient services provided?
No, ARNPs and PAs may also bill Medicare and Medicaid under their own billing (UPIN) number.Medicare now prohibits billing for the combined or split services of a physician and an ARNP or PA for outpatient E/M services for new patients, consultations, or established patients presenting with new problems in the physician’s provider number. Q: If you have a large group practice, should the ARNPs and PAs submit an “incident to” bill under the physician supervising for that day or should the bill be submitted under the name of the physician listed as the ARNP’s or PA’s supervisor? A: Our physicians are part of a group practice, and therefore, “cover” each other’s patients. The ARNPs and PAs should bill under the physician who is available to provide supervision and direction for the services being rendered (i.e., the physician who is present for that day in the clinic). Q: With “incident to” billing, if the physician who initiated treatment for a patient is not in the office suite that day
Related Questions
- Can a faculty physician utilize ARNPs or PAs documentation and/or services if they do not have an employment contract with that physician or group practice?
- Is "incident to" the only way ARNPs and PAs can bill for outpatient services provided?
- What level (E/M) codes (inpatient and outpatient clinic visits) can ARNPs and PAs bill?
