No time limit on incident-to billing if problems are unchanged

Article Overview

This premium article addresses incident-to billing for Medicare Part B and clarifies how practitioners should think about returning patients whose prior problems have not been seen for an extended period. It is aimed at coders, billing staff, and clinical practices that need general guidance on when a visit may be treated as established versus when a change in condition may affect billing under a physician or qualified health professional. The article discusses high-level considerations such as onset, changes in condition, new treatment planning, and how same-specialty practice structure can affect the billing context.