Clip-and-Save Checklist:
Make Sure Your Incident-To Services Check Out
Published on Sat Oct 11, 2003
If you answer "No" to any of these questions, the services cannot be billed as incident-to. Instead, they should be reported using the NPP's PIN. 1. Are the incident-to services incidental to the physician's professional services? [ ] yes [ ] no 2. Did the physician initially see the patient and establish a plan for treatment? [ ] yes [ ] no 3. If this is an established patient being seen for a new problem, has the physician examined the patient? [ ] yes [ ] no 4. Are the services and supplies typically provided by this practice? [ ] yes [ ] no 5. Were the services provided in the physician's office, the patient's home, or an institutional office setting (e.g., leased office space in a nursing home)? [ ] yes [ ] no 6. Was the supervising physician physically present within the office's four walls while the services were rendered?
[ ] yes [ ] no 7. Are the physician and the NPP retained by a common employer?* [ ] yes [ ] no * Exception: Some PAs may serve as independent contractors and bill services incident-to.