tci Part B Insider - 2009 Issue 31

READER QUESTION: Can You Bill All Services as Incident-to Under One Physician's ID Number?

Incident-to rules apply to the relationship between a physician and a mid-level provider. Question: Is there any circumstance in which a group can bill all services and all providers (including other physicians) under just the medical director? I know we can bill NPP services incident-to another physician, but what about other physicians? Answer: No, you cannot always bill services for all providers under a group's medical director. One reason is because you may not bill one doctor incident-to another doctor. Incident-to rules don't apply here because they pertain to the relationship between a physician and a midlevel provider (MLP)...

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