I’m trying to get some clarification for one of my physicians. He currently has a PA that does the initial exam on some of his patients. They review the exam results, imaging and previous records prior to the physician discussing the treatment plan with the patient. Since the physician is not the one actually performing the exam, it doesn’t seem to fit the incident-to requirements, but he is actively involved in the appointment and treatment plan. Any suggestions for the most appropriate way to bill? Should it just be billed under the PA and the physician just doesn’t get credit for his part?

Thanks in advance for your input!!