tci Part B Insider - 2020 Issue Q3

Reader Question: Find Out What Direct Supervision Entails for Incident To

Question: If our physician and nonphysician practitioner (NPP) are in contact over the phone — but are in different buildings — can our practice still bill “incident to” on Medicare claims? SuperCoder Subscriber Answer: No. The Centers for Medicare & Medicaid Services (CMS) stipulates an NPP must be working under “direct supervision” of a physician to bill incident to. The supervising physician cannot be across the street, three blocks away, or available via cell phone. If there is no physician physically present in the office suite during the time of the NPP service, the service must be...

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