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[Podcast] Billing Incident to Professional Services

August 13, 2018
Documentation, Billing, & Coding By Rob Senska, Director and General Counsel

There are many pitfalls to coding compliance that could jeopardize your hospital or physician practice. Incident to billing is one of those areas many physician groups and hospitals struggle to get right.

According to the Balanced Budget Act of 1997, nurse practitioners and clinical nurse specialists are permitted to bill Medicare directly; however, physician assistants must bill for services through their employer. Certain qualified non-physician practitioners (NPPs) are permitted to provide services billed to Medicare, but in order to bill incident to, services must be provided under the direct supervision of a physician.

LW Consulting's Director and General Counsel, Rob Senska, was recently interviewed on The Hospital Finance Podcast produced by Besler Consulting.

Highlights from the podcast include:

  • An overview of incident to professional services
  • What regulations govern the billing for these services
  • What the requirements are for billing incident to
  • The process for auditing and monitoring for correct incident to billing

Let's listen in!