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Click here for more sample CPC practice exam questions and answers with full rationale

Incident to

Provider wants all his claims to be billed as incident to. Most of his claims do not meet incident to Medicare guidelines. I have educated him and management on incident to billing. He says everybody bills all claims incident to, but I have a problem billing claims incident to, that do not qualify. He seems to think that he can’t be audited. I feel I have done my part, but I refuse to bill claims out that are not truly incident to. PLEASE help should I bill these out at the providers request or find other employment? No one seems to think it’s a problem but me even with the Medicare guidelines.

Medical Billing and Coding Forum