tci Medicare Compliance & Reimbursement - 2005 Issue 17

Physicians: Incident-to Rule- To Be Or Not To Be?

CMS decides something's rotten in state of Transmittal 20. Physicians who have been relying on the Center for Medicare and Medicaid Services' guidance about billing for incident-to services could be in for a whole new world of confusion. That Was Then Last September, CMS said that the supervising physician and the ordering physician don't have to be the same person when a practice provides incident-to services. CMS instructed coders to put the ordering physician's name in Box 17 and the supervising physician's signature in Box 31 on the 1500 form. This Is Now But now, CMS has sent...

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