tci Part B Insider - 2011 Issue 22

Part B Revenue Booster: Don't Get Stuck Paying A 15-Percent Penalty If You Know You've Met Incident to Regs

Follow these tips to ensure you're reporting incident to properly.As most Part B practices are aware, under incident-to rules, qualified nonphysician practitioners (NPPs) can treat certain patients and still bill the visit under the doctor's National Provider Identifier (NPI), bringing in 100 percent of the assigned fee. But nailing down the complex incident to regulations can sometimes trip up even the most seasoned coder. Bill your incident to services properly every tie with this expert advice.How it works: When an NPP provides a service to a Medicare patient incident-to the physician, you can report the service under...

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