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tci Part B Insider - 2012 Issue 12

Reader Question: Know When 'Incident To' Rules Apply

Question: I have a case where one physician (physician A) in my practice covered an established patient office visit for another physician (physician B) in the practice because physician B had to run across the street to see a patient in the hospital. They want me to bill the office visit incident-to physician B even though he was not in the office at the time. Is this legit?Answer: You should not report this service incident to physician B. Incident-to billing doesn't apply between two physicians. You cannot bill services provided by one physician under another physician's name or...

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