tci Medicare Compliance & Reimbursement - 2014 Issue 10

Compliance: Don't Fall Victim To Heightened OIG Scrutiny

Tip: Be careful about which services you let NPPs perform. You want to bring in additional income and free up physician time to focus on complex cases by hiring a non-physician practitioner (NPP) but suddenly find yourself in the crossfire of audits and fraud investigations. Terrifying prospect? You can avoid it by taking a look at these four criteria that you must meet to avoid scrutiny and denials. Capture an Extra 15 Percent Under incident-to rules, qualified NPPs can treat certain patients and still bill the visit under the physician’s provider number (NPI), bringing in 100 percent of...

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