Incident-to Billing: Shore Up You Incident-to Claims or Face OIG Scrutiny This Year

Why This Topic Matters

Incident-to billing can affect reimbursement and compliance risk for physician practices, especially when services furnished by non-physician practitioners are reported under a physician’s billing identity. Understanding the article’s scope helps readers assess whether the full guidance is relevant to office workflow, supervision, and audit preparedness.

Article Sections

1. Learn What Incident-to Means

   Introduces the general concept of incident-to billing and places it in the context of Medicare office services furnished by non-physician practitioners. It also discusses why some practices consider this billing approach.

2. Get to Know OIG's Plans

   Summarizes the oversight and audit focus described in the article, including the role of the OIG and broader compliance concerns. It also references prior work-plan attention and related enforcement themes.

3. Know When You Can -- And Can't -- Bill Incident-To

   Outlines the article’s main eligibility and supervision topics for incident-to billing. It discusses the practice setting, scope of practice, care planning, and supervision considerations at a broad level.