sharynwolfe
Guest
I have hit a snag with Humana and "incident to" billing. They are telling me that they follow Medicare guidelines which means that the claims that I am billing "incident to" for are only to have the supervising physicians information on them. They say to make the rendering provider on the HCFA whomever the supervising physician was and leave the NP off completely. Humana is now going through my claims and asking for money back on the claims that they paid 100% for when there was the supervising physician and the NP on the claim. They are trying to reimburse me at the 85% for the NP.
I almost find it fraudulent however per the documentation that was given to me this may be correct. Can anyone give me some insight on this? And is this new?
![Eek! :eek: :eek:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
I almost find it fraudulent however per the documentation that was given to me this may be correct. Can anyone give me some insight on this? And is this new?