Incident -To Billing

November 1, 2007

Some third-year resident physicians would like to moonlight at our clinic, but insurance companies have told us they will not recognize billing by residents. Is there a way around this problem? Can we bill them under me as medical director although I am usually not on premises?

Question: Some third-year resident physicians would like to moonlight at our clinic, but insurance companies have told us they will not recognize billing by residents. Is there a way around this problem? Can we bill them under me as medical director although I am usually not on premises?

Answer: No, incident-to does not apply to residents, and, besides, you’d need to be on premises to bill incident-to. You may be able to bill Medicare. The AAMC has a summary of the rules at www.aamc.org. For private insurers, they call the shots, though it may be worth a few more phone calls to try and negotiate a solution.