Allergy Injection Supervision Requirements

image_pdfimage_print

Question:  

Does the physician have to be in the building when giving an allergy injection? Or can the allergy injection be supervised by physician assistant?

Answer:

Medicare’s physician supervision guidelines for incident to billing require the billing provider to be physically present in the office suite whether it is a physician or physician assistant (or even a nurse practitioner for that matter). Medicare’s will reimburse at 100% of the physician fee schedule when a physician is the billing/supervising provider and at 85% of the physician allowable when the PA or NP is the billing/supervising provider. You’ll want to check with you other payors for their guidelines.