Compliance: Don't Fall Victim To Heightened OIG Scrutiny

Why This Topic Matters

Understanding incident-to compliance helps practices reduce claim denials, avoid audit risk, and choose the appropriate billing pathway when services are furnished by non-physician staff.

Article Sections

1. Capture an Extra 15 Percent

   Introduces the article’s main compliance topic and discusses incident-to billing in the context of non-physician practitioner services and practice revenue considerations.

2. Determine Encounter Place of Service

   Reviews place-of-service considerations and the settings discussed in relation to incident-to billing eligibility.

3. Check Your State’s Scope of Practice Rules

   Explains the role of state law and licensure requirements in evaluating whether incident-to services are appropriately furnished.

4. Save New Problems for the Physician

   Covers care-plan and patient-visit prerequisites discussed for incident-to billing and what happens when those conditions are not met.

5. Differentiate Supervision Types

   Addresses supervision concepts, office-suite presence, and related billing attribution considerations for services performed by non-physician staff.