I need some clarification on Billing Incident-to. I say that in order to BILL Incident-to Correctly the Physician MUST be in the same building as the PA/NP. My practice wants to utilize our PA/NP at a Satellite Office (and Bill Incident-to) without a Physician Present but available by phone because the scope of Practice for a PA per GA Composite Medical Board states " The supervising physician need not be physically present at the time of the services but shall be immediately available by telecommunications". My opinion is that Scope of Practice and Billing are different. You need to follow the Insurance Companies definition of Incident-to. Please help clarify this for me. Paula