Incident To: Incident To: Cull Out Deserving Dollars Following These Guidelines

Physician's authorization of NPP's services is a rule you can't miss.

CMS recognizes nonphysician practitioners (NPPs) for payment purposes by reimbursing physicians for services provided "incident to" a physician's care. However, CMS has made it clear in 2008's Transmittal 87 that payers will not reimburse these services unless there is documentation authorizing the incident-to service.

You could end up dazed and confused if you don't fully understand incident-to rules. But you can't afford not to -- Medicare reimburses at 100 percent of the physician fee schedule when billed incident to, and 85 percent when billed non incident to.

Fortunately, you have ways to level [...]

- Published on 2010-11-25