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Pulmonology Coding Alert

Incident to Billing:

Learn the Nitty-Gritty of Filing an Incident-to Claim

Published on Sun Nov 25, 2012

Understand the criteria for successful claims or be ready for OIG's scrutiny. Do you know you might be compromising about 15 percent difference in reimbursement rates if you are not aware of correctly billing services non-physician practitioners (NPPs) perform in your office? Here's why : As part of its 2012 Work Plan, the HHS Office of Inspector General (OIG) plans to scrutinize incident to services.   Your best bet to avoid being on OIG's hotlist is not to bill incident to unless you're sure you've met the requirements. Here's what you need to know to keep your practice off OIG's watch. Learn What Incident to Means As most practices are aware, under incident-to rules, qualified NPPs can treat certain patients and still bill the visit under the physician's National Provider Identifier (NPI), bringing in 100 percent of the assigned fee. How it works: When an NPP provides a service to [...]
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