tci Part B Insider - 2006 Issue 12

INTERNAL MEDICINE: 2 Examples Help You Ace 'Incident-To' Rules For NPs

Refresher:  The key to 100% payment lies in an established plan of careYou know Medicare pays nurse practitioners' (NPs') services at 85 percent of the physician's rate--but are you confident in your skills at securing 100 percent when you bill them under the internist's personal identification number (PIN)? Read the following examples and test your know-how on incident-to guidelines for NPs.Example #1: A 70-year-old male patient makes an appointment for an initial visit with your internist to manage his uncontrolled type II diabetes and related peripheral circulatory disorders. After his initial visit with the internist, he has a...

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