Incident-to

Why This Topic Matters

Understanding this topic helps practices avoid improper Medicare billing and reduce exposure to fraud, abuse, and kickback risk when outside personnel or vendor relationships are involved.

Article Sections

1. Medicare incident-to clarification

   Explains the Medicare policy clarification discussed in the article and its impact on auxiliary personnel and practice billing relationships.

2. Compliance concerns with manufacturer representatives

   Reviews the legal and compliance questions raised when outside vendor personnel provide services in the practice setting.

3. Referrals could implicate anti-kickback statute

   Discusses the potential anti-kickback and fraud-and-abuse concerns associated with items or services of value in a referral context.

4. Billing manufacturer’s rep services could be false claim

   Addresses the article’s discussion of false claim exposure when services performed by a manufacturer representative are billed to Medicare.

5. Other arrangements: space rental, purchased tests and loaned equipment

   Covers additional arrangement types discussed in the article, including space rental, purchased diagnostic tests, and equipment-related billing concerns.