tci E/M Coding Alert - 2022 Issue Q3

Billing: Know Patient Status Before Billing Incident-To

Hint: Check with your payers before billing. If your practice provides services incident-to a physician, make sure you’re following reporting rules to ensure full payment — otherwise, you’re leaving money you technically earned on the table. Take a deep dive into some nitty-gritty details of incident-to billing. This article will focus on the incident-to billing practice that allows nonphysician practitioners (NPPs) to provide evaluation and management (E/M) services to patients without the physician’s accompaniment. Correctly reporting incident-to means that you can bill your NPP’s services under the National Provider Identifier (NPI) of the physician; this...

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