Review Incident - To for Compliance

by  Aimee Wilcox, MA CST CCS-P
December 21st, 2015

If your organization performs incident-to services, be sure to perform a periodic review of the rules that govern incident to and then compare them to the practices of your providers to ensure they would pass an audit.  Here are just a few of the guidelines that should be reviewed; however, for additional review,  the CMS guidelines for a quick review:

 Qualifying Personnel:

Services that CANNOT be billed as incident to include:

There are many other incident to rules that apply, but these are the big ones and many of them are being scrutinized by CMS and other carriers.  Be on your game by carefully evaluating "incident to" compliance in your organization.

References:

Review Incident - To for Compliance. (2015, December 21). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/review-incident-to-for-compliance-28070.html

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