I work in private practice with two locations and 11 providers. I wanted to clarify the guidelines for incident to service with MDs and NPs. My understanding is that a NP can see an established patient and the MD does not have to be in the room supervising the NP. The supervising MD must sign the NP charts for the day and then those charts can be billed under that MD name for reimbursement. Does anyone agree or disagree about this?

Shakeda Jenrette, CPEDC, RMA