tci Outpatient Facility Coding Alert - 2015 Issue 3

Documentation: Tread Carefully When Billing ' Incident to' Services

Meet the criteria or be ready for the OIG’s scrutiny.  Do you know you might be compromising about 15 percent difference in reimbursement rates if you are not aware of correctly billing for services non-physician practitioners (NPPs) perform in your office?  Here’s why: In the 2012 Work Plan, the HHS Office of Inspector General (OIG) indicated it would begin scrutinizing incident to services. Your best bet is not to bill “incident to” unless you’re sure you’ve met the requirements.  Here’s what you need to know to keep your practice...

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