tci Medicare Compliance & Reimbursement - 2018 Issue 11

Revenue Booster: Beef Up Your Bottom Line with this Incident-To FAQ

Pinpoint exactly what 'direct supervision' means. Billing your services incident-to allows you to collect more for non-physician practitioners' visits than you would if the NPPs billed under their own National Provider Identifiers (NPIs) - but that extra money isn't simply guaranteed to you every time a doctor's NPI is use on an NPP's claim. In fact, Medicare lists specific criteria that must be met to bill incident-to in order to avoid chargebacks. Explanation: If you don't code correctly, you could be facing a denial or reduced payment for the service. Further, although incident-to is a Medicare convention, many third-party...

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