tci Medicare Compliance & Reimbursement - 2011 Issue 13

Part B Revenue Booster: Don't Get Stuck Paying A 15-Percent Penalty If You Know You've Met Incident-to Regs

Follow these tips to ensure you're reporting Incident-to properly. As most Part B practices are aware, under incident-to rules, qualified nonphysician practitioners (NPPs) can treat certain patients and still bill the visit under the doctor's National Provider Identifier (NPI), bringing in 100 percent of the assigned fee. But nailing down the complex incident-to regulations can sometimes trip up even the most seasoned coder. Bill your incident-to services properly every time with this expert advice.How it works: When an NPP provides a service to a Medicare patient incident-to the physician, you can report the service under the physician's national...

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