tci Medicare Compliance & Reimbursement - 2021 Issue Q3

Incident-To Coding: Add These 5 Tips to Your Incident-To Playbook

Hint: Don’t meet the requirements? Bill under the APP’s NPI. When you’re reporting incident-to services, the medical record should include documentation noting that the physician is overseeing the provision of services appropriate for that patient’s condition. That was one key insight discussed by NGS Medicare’s Carleen Parker during the Part B payer’s “Five Whys for Incident To” webinar. Background: The term “incident to” comes directly from the Centers for Medicare & Medicaid Services (CMS), Parker said. “Incident-to services are furnished as an integral, although incidental, part of the physician’s...

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