tci Part B Insider - 2005 Issue 5

Incident-To Billing: Can You Prove Where Your Doc Was Two Year Ago Today?

Some carriers require physician signature on incident-to claimsIf your doctor is supposed to be supervising a non-physician practitioner, he can't be off playing golf or catching a movie - no matter how multitalented he is.If your carrier audits today's incident-to claims a year or two from now, the auditors will do their utmost to find instances when your physician wasn't really on the premises supervising an NPP. For example, if they can find records showing that the physician was at the hospital during that time, they can knock down a whole day's incident-to claims, says Theresa Powers, a...

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