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

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.