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Practice tip of the week: The basics of incident-to billing


Your weekly dose of wisdom from the Physicians Practice experts.

With all the useful information available on Physicians Practice, it is easy to become overwhelmed.

With this in mind, the tip of the week is a chance to reflect on some of the wisdom found all across the site.

In a November 2021 story on the basics of incident-to billing, G. John Verhovshek, MA, CPC gave 6 rules.

“First, the service must take place in a non- institutional setting. Second, a Medicare credentialed physician must initiate the patient’s care. Third, after initial care, a NPP may provide follow-up care. Fourth, a physician must be an active part of the patient’s treatment. Fifth, both the NPP and credentialed physician must be employed by the group entity billing the service. Finally, the incident-to service must be considered a normal course of treatment for the clinic.”

Come back next week for another tip of the week.

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