Incident-to Coding: Physician vs. Non-physician Provider

Question: Our practice needs to make sure that “incident-to” guidelines are being followed?

Part of the Medicare guidelines is that the physician must stay involved in the patient’s care, but they don’t give a specific timeframe. If the patient only sees the non-physician provider (NPP) once or twice a year, and only sees the physician every two to three years, would Medicare consider that as the provider staying involved in the patient’s care?

Answer: Once upon a time…

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View all Articles by: Melissa Clark, CCS-P