Practice Management Alert

Bill This!:

Determine If You Can Bill Incident-to in This Case

How would you bill this case?Test your incident-to billing skills with this case study from a Medical Office Billing & Collections Alert subscriber in Tennessee. I have a case where one physician (physician A) in my practice covered an established patient office visit for another physician (physician B) in the practice because physician B had to run across the street to see a patient in the hospital. They want me to bill the office visit incident-to physician B even though he was not in the office at the time. How would you bill these services? Answer: If you said you should not report this service incident to physician B, you're correct. Incident-to billing doesn't apply between two physicians. You cannot bill services provided by one physician under another physician's name or national provider identifier (NPI). Billing under the name of a physician who did not perform the service could lead [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more