Defining 'Office Suite' for Incident-to Billing

Article Overview

This article addresses a Medicare Part B billing issue involving incident-to services and the meaning of direct supervision when the supervising clinician must be in the office suite. It focuses on how CMS and local carriers may interpret the physical boundaries of an office suite, why that interpretation can vary by situation and location, and why practices in multi-floor or otherwise gray-area settings should verify local policy. The content is relevant to physicians, qualified nonphysician practitioners, practice managers, and billing staff working with Medicare supervision requirements.