BC Advantage - 2010 Issue 1

Are changes to physician incident-to services on the horizon?

The Office of Inspector General (OIG) recently recommended changes for physician incident to services-services billed by physicians but actually performed by nonphysicians-based on findings from a recent study. CMS agreed some of the recommendations, which means changes may well be on the horizon.On August 5, the OIG released a report, "Prevalence and Qualifications of Nonphysicians Who Performed Medicare Physician Services," based on a study performed in the first three months of 2007. Using Part B Medicare National Claims History (NCH) data, the OIG identified days in which Medicare allowed physician services in a single day that exceeded...

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