tci ED Coding & Reimbursement Alert - 2007 Issue 10

READER QUESTIONS: Zoom in on Supervision Requirements

Question: If an NP or PA were to perform a diagnostic test, as long as it was within his scope of practice, am I correct that there are no supervision requirements?Maine Subscriber Answer: Nurse practitioners (NPs), clinical nurse specialists (CNSs) and physician assistants (PAs) may not function as supervisory physicians under the diagnostic tests benefit, according to Medicare rules. Beware: Keep in mind that the supervision requirements for nonphysician ancillary personnel performing diagnostic tests are different from those for incident-to services. Diagnostic tests require general supervision, while incident-to services require direct supervision.  But when these practitioners personally...

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