decisionhealth Newsletters, Part B News - 2008 Issue 6 (June)
CMS: Provider must have right credentials to perform service
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Article Overview
This article summarizes CMS and OIG activity related to incident-to services, including how credential and training expectations for staff performing certain physician or nonphysician practitioner services were being addressed in Medicare guidance. It is relevant to billers, coders, compliance staff, and providers who need to understand the broader documentation and qualification changes discussed in the CMS transmittals.
Why This Topic Matters
The topic affects compliance, documentation, and billing accuracy for incident-to services, especially when staff credentials and training are part of the service record.
What You Will Learn
- How CMS guidance addressed staff qualifications for incident-to services
- Why credential and training issues matter in Medicare billing compliance
- What kind of documentation concerns were raised in the transmittals discussed in the article
- How the article fits into broader OIG and CMS oversight activity
Who Should Read This
- Medical coders
- Billers
- Compliance staff
- Physician practices
- Nonphysician practitioners
- Therapy providers
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