When billing “incident to” does the physician need to co-sign the PA/NPs note?
Because many (but not all) payors require a physician’s signature – it is UF policy that physicians co-sign notes where services are billed in the physician’s name. Physician signatures on charts are always required for PA’s to practice within their license. Q: I am a Teaching Physician, and work with a PA and an ARNP. They both take histories, perform the exam, and then I see the patient and make the medical decisions or approve the PA or ARNP’s plan. The PA or ARNP dictates the clinic note describing the entire encounter including my services. Is there a specific personal attestation describing my participation in this service required to be included in the medical record? A: NO – not for PA’s and ARNP’s, although we encourage the physician to make a minimal note (such as “seen and agree”) to make their participation clear to any auditor. The Teaching Physician rules that apply to RESIDENTS, do not apply to PA’s and ARNP’s. There is no specific personal attestation requirement, nor i
