tci Medicare Compliance & Reimbursement - 2015 Issue 5

Part B Revenue Booster: Capture Incident-to Services and Maximize Your Income

Find out what you might have missed on incident-to billing. Are you certain that every time you bill for incident-to services you’re following the appropriate guidelines? If your services meet all of the requirements for incident-to as specified in the Medicare Benefit Policy Manual, Chapter 15, Sections 60-60.1, you can boost the percentage of the charges that you usually capture. The Centers for Medicare & Medicaid Services (CMS) says that your incident-to services must be an integral, although incidental, part of the physician’s personal professional services, and they must be performed under the physician’s direct...

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