decisionhealth Newsletters, Part B News - 2009 Issue 8 (August)
NPP Report: Expect greater scrutiny of incident-to services from CMS
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Article Overview
This article covers an OIG report urging CMS to increase scrutiny of incident-to services and discusses how that could affect billing and documentation practices for non-physician practitioner encounters. It is relevant to nurses, physician practices, coders, and compliance staff who manage Part B services and want to understand the general regulatory and audit issues being raised.
Why This Topic Matters
The article highlights a compliance-focused federal review of incident-to billing and the documentation expectations surrounding physician involvement. It matters to practices that bill these services because it signals possible changes in oversight and audit attention.
What You Will Learn
- The general compliance concerns raised by federal oversight of incident-to services
- How documentation and physician involvement are discussed in relation to incident-to billing
- Why audit scrutiny of non-physician practitioner services may be increasing
- What CMS and the OIG are said to be considering regarding reporting and oversight
Who Should Read This
- Medical coders
- Compliance officers
- Physician practices
- Nurse practitioners
- Physician assistants
- Billing staff
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