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Survival Guides
Archived Content: This Survival Guide content is more than one year old and may not have the current updates.
Part B Coders Rule Book
Chapter 12: Nonphysician Providers and Incident-To

Correctly billing your nonphysician practitioners (NPPs) incident-to services means the difference between 85 and 100 percent reimbursement. But if you bill incident-to haphazardly, you’re just waving a red flag at auditors.
Use the following list of questions to evaluate your incident-to claims for all the must-have components, and be sure the documentation includes the same.
1. Do the Services Involve Direct Supervision?
Direct means that the supervising physician must be in the immediate office suite while incident-to services [...]


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