Primary Care Coding Alert

Incident to, critical care must meet certain criteria.As a family medicine coder, you're accustomed to reporting office/outpatient E/M codes (99201-99215) on an everyday basis. Some Part B providers are falling prey to several common E/M myths, however, so read on to be sure you know the facts.Myth 1: Report Supervising Physician for "Incident to"Some coders believe that when you report 99211 "incident to" a physician, you should bill under the name of the physician on record for that patient.Reality: Always file "incident to" claims under the supervising physician's name, including nurse visits reported with 99211 (Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of the physician). The Office of Inspector General (OIG) recently found that many practices were billing "incident to" services under the name of a physician who was not on the premises during the encounter."Incident to" [...]