tci Part B Insider - 2015 Issue 6

Part B Revenue Booster: 3 Facts You May Not Know About Incident to

And one that you probably do know—but aren’t following properly. As most practices are aware, you can maximize your income if you report your mid-level providers’ services as incident to the physician—but to do this ethically, you must follow the rules. Background: If your services meet all of the requirements for incident to as specified in the Medicare Benefit Policy Manual, Chapter 15, Sections 60–60.1, you can collect 100 percent of the visit’s charges instead of the 85 percent that mid-level providers can usually capture. CMS says that your incident to services must...

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