I have a question pertaining to Incident-to billing. I know Medicare's Incident-to guidelines but my question is in regard to Commercial payers. I have pulled up policies for BCBS Anthem, UHC and Cigna and I want to make sure I am understanding correctly. If a NPP see's an established patient and he/she makes no changes to the patient's plan of care, and if that NPP has their own NPI # would I bill the rendering and supervising under the NPP's NPI# or would I bill the NPP under the rendering and the Supervising under the Provider's NPI?
Now if an NPP see's an established patient and does make changes to the plan of care, would I bill incident-to Rendering under the NPP's NPI and Supervising under the Provider's NPI or would I bill totally under the NPP as the rendering and supervising?
I know if it is a new patient I would only bill under the NPP's NPI #. Again, I am asking in regards to Commercial payers. Reading these guidelines has me a little confused and I want to make sure these claims are being billed out correctly.
Thank you!
Now if an NPP see's an established patient and does make changes to the plan of care, would I bill incident-to Rendering under the NPP's NPI and Supervising under the Provider's NPI or would I bill totally under the NPP as the rendering and supervising?
I know if it is a new patient I would only bill under the NPP's NPI #. Again, I am asking in regards to Commercial payers. Reading these guidelines has me a little confused and I want to make sure these claims are being billed out correctly.
Thank you!