Medicare Compliance & Reimbursement - 2018 Issue 4
Reader Question: Code for Incident-To Service for Established Patient Only
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Article Overview
This article answers a reader question about whether a particular office/outpatient E/M code may be used for new patients. It explains the topic in the context of incident-to services, established-patient billing, and the role of supervising providers and ancillary staff. The piece is aimed at coders, billing staff, and compliance professionals who need a high-level understanding of when this type of encounter is discussed in coding guidance.
Why This Topic Matters
Correctly distinguishing established-patient services from new-patient services affects E/M reporting, billing integrity, and compliance with practice workflows that involve incident-to services.
What You Will Learn
- How the article frames incident-to services in relation to office/outpatient E/M reporting.
- Why the discussion focuses on established-patient encounters.
- What general billing and supervision concepts are involved in this type of question.
- How the article presents the role of ancillary staff and supervising providers.
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance professionals
- Physician office administrators
Codes Discussed
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