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

Why This Topic Matters

Correct incident-to reporting affects how Part B practices capture reimbursement and avoid underpayment or billing errors. The topic matters to coding and billing teams that support physician practices using nonphysician practitioners.

Article Sections

1. Follow these tips to ensure you're reporting Incident-to properly.

   Introduces the article’s focus on incident-to billing for Medicare Part B and frames the main compliance topics covered in the guidance.

2. Ensure NPP Follows Provider's Action Plan

   Discusses the role of an established plan of care, follow-up for existing conditions, and the distinction between established and new problems in incident-to billing.

3. Verify Physician Supervision During Encounter

   Covers the supervision requirement during the encounter and includes a billing example involving evaluation and management reporting and diagnosis context.

4. Be Sure NPPs Meet Incident-to Credentials

   Summarizes the types of nonphysician practitioners referenced and the general credentialing expectations tied to incident-to services.