BC Advantage - 2009 Issue 5

Incident-to billing presents one of the last remaining opportunities for physicians to multiply their services and increase their income without having to work harder. However, the regulations which govern this practice under both the federal Medicare program and the various state Medicaid programs can present pitfalls to unwary physicians and their staffs who fail to properly understand and apply them. These mistakes can lead to government intrusion, overpayment demands, audits and false claim allegations.Both Medicare Part B and many state Medicaid programs include coverage of services that are rendered "incident to" a physician's services. Unraveling the requirements will...

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