tci Part B Insider - 2012 Issue 10

Incident-To: Check Out These Four Essentials Before Filing an Incident-to Claim

Heads up: Skip these items and you'll be in the OIG's hot seat. Your physician diagnoses a new patient with acute sinusitis (461.9), and bills the service with 99203 (Office or other outpatient visit for the evaluation and management of a new patient ...). His plan of care includes follow-up services to assess the patient's medication compliance and response. Two weeks later, the patient returns for her follow-up visit. The nurse practitioner (NP) checks the patient's vitals and asks how she's feeling and whether she believes the new medications are helping. The NPP also asks if the patient...

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