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Incident-to billing for advanced practice providers (nurse practitioners, physician assistants, clinical nurse practitioners, nurse midwives, etc.) has been available to limited license practitioners since 1998. And the rules for what is required to bill incident-to are clearly defined by the Centers for Medicare & Medicaid Services (CMS). Yet, this privilege, which enables a limited license […]
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Modifier GT via interactive audio and video telecommunications systems is no longer required on professional claims when reporting telehealth services for Medicare patients. Instead, the Centers for Medicare & Medicaid Services (CMS) instructs, “Use of the telehealth Place of Service (POS) Code 02 certifies that the service meets the telehealth requirements.” An exception occurs for distant […]
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