tci Medicare Compliance & Reimbursement - 2004 Issue 34

Physicians: New 'Incident-To' Rules Tough For Docs To Take

'Incident-to' means employees, services - but not other doctors.The party may be over for physicians billing incident to other physicians, if one carrier has its way.Part B carrier TrailBlazer's latest bulletin comes down on doctors billing under other physicians' billing numbers using the "incident-to" rule. Many doctors viewed this rule as an opportunity to bill Medicare for their services while they waited for the carriers to clear up punishing enrollment delays.While "independent publications" may have published articles suggesting this practice is acceptable, "TrailBlazer does not interpret auxiliary personnel to include physicians," and unless the Centers...

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