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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 […]
The post Incident-to Billing May Be Eliminated appeared first on AAPC Knowledge Center.
I have reached out to the insurance companies we work with and the reps are not giving me information on incident to services.
Any help or knowledge would be appreciated.
Incident to billing allows non-physician providers (NPPs) to report services “as if” they were performed by a physician. The advantage is that, under Medicare rules, covered services provided by NPPs typically are reimbursed at 85 percent of the fee schedule amount; whereas, services properly reported incident to are reimbursed at the full fee schedule value. […]
The post Seven Incident-to Billing Requirements appeared first on AAPC Knowledge Center.
I’m looking into potentially bringing on a lactation consultant to our practice as a percentage based employee. Can we bill incident-to for the lactation consult’s visits if the primary care physician in our office recommends the patient get lactation education/assessments? We’re in Washington State so I’m not sure if that plays a part. :confused:
Help!
Plan discussed with: patient, supervising physician DR X
Electronically signed by PA
Electronically signed by Dr X
Who do I bill under.
Thanks,