November 13, 2014
Dr. A ordered a Rocephin injection on a patient but he was not in the office when the nurse gave the injection. We billed the injection under Dr. A’s name and NPI because it was his patient. Does Dr. A have to be in office for us to bill the injection or is it ok if Dr. B is in office supervising?
Assuming all other guidelines are met, Medicare’s “incident to” billing guidelines would allow reporting the injection service under Dr. B’s name and NPI. Medicare’s guidelines require that the billing/supervising physician be in the office suite at the time the service is provided by the nurse. Therefore, this service may not be billed under Dr. A because Dr. A was not in the office.