tci Part B Insider - 2005 Issue 14

INCIDENT-TO-BILLING: CMS Reverses Course On Incident-To Billing

Docs, coders left confused by unpublicized flip-flop If you've been relying on the Centers for Medicare and Medicaid Services' guidance about billing for incident-to services, then you could be in for a world of confusion.Last September, CMS said that the supervising physician and the ordering physician don't have to be the same person for incident-to services (see PBI, vol. 5, No. 35). 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17 and the supervising physician's signature in Box 31 on the 1500 form.But now, CMS has sent out a notice that it has withdrawn...

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