tci General Surgery Coding Alert - 2015 Issue 10

Billing: Grasp 'Incident-to' Opportunity for NPP Pay

No dice for new patient or plan. If you have non-physician practitioners (NPPs) working in your general surgery practice, you better know this one billing trick — and the guidelines for using it — that can increase your pay by 15 percent. Way in: Under certain circumstances, the NPP can bill “incident-to” under the physician’s National Provider Identifier (NPI), which will net your practice 100 percent reimbursement from Medicare. If you bill under the NPP’s NPI, you’ll usually receive 85 percent of the normal global fee found in the Medicare Physician Fee Schedule, says Jill...

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