Part B Insider - 2015 Issue 10
Physician Fee Schedule: Get to Know Proposed 'Incident-to' Changes
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Article Overview
This article reviews a proposed change in the Medicare Physician Fee Schedule that would affect how incident-to services are billed and supervised. It is aimed at physicians, nonphysician practitioners, and medical billing professionals who follow Medicare payment policy and compliance updates. The discussion focuses on the proposed supervision relationship, licensure and state-law considerations, and enrollment or exclusion-related conditions tied to incident-to services.
Why This Topic Matters
Incident-to billing rules can affect who may bill, who must supervise, and whether services remain payable under Medicare. Understanding proposed updates helps practices stay aligned with federal payment policy and compliance expectations.
What You Will Learn
- How the proposed Medicare fee schedule change relates to incident-to services
- What the article says about direct supervision and billing relationships
- Which compliance and eligibility factors are discussed in connection with incident-to services
- Why the proposed update matters for Medicare-facing practices
Who Should Read This
- Physicians
- Nonphysician practitioners
- Medical billers
- Medical coders
- Practice managers
- Compliance staff
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