tci Part B Insider - 2013 Issue 32

Shared Visits: Report Shared Visits Properly to Avoid Being A CERT Statistic

Medicare allows NPP, physician to combine forces on some hospital services If CMS’s latest CERT report is any indication, Part B practices could use a quick refresher on how to report split/shared visits properly to avoid paybacks or underpayments (See cover story for more on this). Consider the following tips to ensure that you report these services appropriately. In the office setting, incident-to billing is a vital part of the practice’s reimbursement machine: Under incident-to rules, qualified nonphysician practitioners (NPPs) can treat certain patients and still bill the visit under the physician’s National Provider Identifier (NPI)...

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