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Nonphysician Providers and Incident-To: Your Coding Questions Answered

Posted on 25. Oct, 2009 by in Hot Coding Topics

Here’s why you should keep your physicians’ work schedules on file.

Correctly billing your nonphysician practitioners (NPPs) incident-to services means the difference between 85 and 100 percent reimbursement. But if you bill incident-to haphazardly, you’re just waving a red flag at auditors.

And those auditors are jonesin’ to find incident to billing problems. Just check out this recent report from the HHS Office of Inspector General to learn the kinds of mistakes they’re looking for.

But have no fear. If you use the following list of questions to evaluate your incident-to claims for all the must-have components, and be sure the documentation includes the same, you’ll have nothing to worry about if auditors come knocking.

1. Do the Services Involve Direct Supervision?

Direct means that the supervising physician must be in the immediate office suite while incident-to services are being provided. But if...

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