We have a PA that is running the obesity counseling and Ideal Protein management for patients, but sometimes they come in and are only seen by a nurse. She does document everything just as our PA does, but it is only signed by our RN.

The nurse spends time counselling the patient and documents it and bills a 9940x depending on that time spent. The PA will come in after and sign off on the chart.

My question is, can a RN bill this service or does she have to be seen and evaluated by the NP, PA, or physician in order for it to be billed?

She (the PA) says it’s incident to, but I’ve searched and can’t find anything to support this and that a PA can bill any incident to services. Any info would be extremely helpful!

Thanks!