tci Part B Insider - 2006 Issue 4

Part B Coding Coach: Refresh Your NPP Incident-To Know-How With This 5-Step Checklist

Don't confuse other payors' regulations with Medicare'sCorrectly billing your non-physician practitioner's (NPP's) incident-to services means the difference between 85 and 100 percent reimbursement. But if you bill incident-to haphazardly, you're just waving a red flag at auditors. Use the following list of questions to evaluate your incident-to claims for all the must-have components--and be sure the documentation includes the same. 1. Do the services involve direct supervision? Direct means that the supervising physician must be in the immediate office suite while incident-to services are being provided, clarifies Barbara J. Cobuzzi, CPC, CPC-H, CHBME, president of CRN Healthcare Solutions, a...

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