Appreciate the input. I was planning on using someone to help me on my call weekends only so I can spend more time with my admits and sicker patientd and not have to spend my entire day seeing 30+ follow-ups. I was still going to be the primary decision maker. I was asking as in the outpatient world you can bill incident too for follow-ups under the "supervising" physicians NPI legally under certain circumstances one which is being present in the facility. Wasn't sure if the same applied for inpatient as well. It does not from my research. Although people still do it.
I don't think having a mid-level help to ease the burden of work in certain circumstances is the reason they are encroaching on scope of practice. I would argue that in many instances not only can they be a huge help but also increase patient care and safety in the right circumstances. If there were 40 patients to be seen, 1/3 of which were very sick and the rest were stable, care could be compromised if one was forced to see everyone as opposed to focusing attention on those that really need it while having a mid-level see those that don't require as much time or changes to their management. Allocation of resources.
To be honest, I feel that a majority of encroachment has more to do with lobbying, cost of care to payors, and number of physicians. Nurses tend to band together and physicians don't. Physicians are too busy complaining yet do very little to change anything. Unfortunately at this rate it's probably inevitable. Especially in a field like PM&R. Very few people want to do inpatient work with an ever aging population and a growing need. Supply cannot keep up with demand.
Do you fell the same about other specialties encroaching on PM&R because that seems to be a growing trend. Some of them have less experience then some of the midlevels I've seen.