Practice Management Alert

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? Colorado Subscriber 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 nonphysician practitioner (NPP), and in some instances both providers involved are physicians. Bottom line: It is never acceptable to 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 to allegations of false claims submissions. You can, however, report NPP services incident-to the medical [...]