tci Part B Insider - 2004 Issue 29

Incident-to: "Incident-To" Means Employees, Services - Not Other Doctors

Definition of "incident-to" is no accident, says carrierThe 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 doctors' 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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