tci Medicare Compliance & Reimbursement - 2006 Issue 19
INCIDENT-TO-BILLING: Pre-2002 Incident-To Claims Could Still Wind Up In Court
Now is the time to scrutinize your documentation.Ignorance of the incident-to law is no excuse--even if the law was unclear and confusing.That's the message that the federal Eleventh Circuit Court of Appeals may be sending providers, in the wake of a new ruling in United States ex. rel. Walker vs. R&F Properties of Lake County (04-15283). Possibly the most prominent case involving incident-to billing, Walker could decide whether thousands of other providers face legal liability. Background: Nurse practitioner Kathryn Walker worked at a clinic run by R&F Properties from 1997 to 1999, and she saw...
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