As stated, incident-to services cannot be provided to a new patient. For an established patient, the billing provider must establish a plan of care. The non-billing provider then follows that plan of care on subsequent visits. A physician (not necessarily the billing physician) must be in the office suite when the incident-to services take place.I work in family practice and we hired LMHC (licensed mental health counselor). I contacted Medicare Part B and was advised that LMHC provider cannot be credentialed with Medicare Part B but they can bill 'as incident to' on the claim. I was told by Medicare rep the medical provider is rendering provider and LMHC provider is servicing provider. I was wondering if this is correct and if so, does the patient need to be established in the practice to receive the behavioral health service or can they be a new patient? If new patient - what role would the provider be responsible for (i.e. see the patient briefly or make a note on the chart that the chart was reviewed).
We have a new Medicare patient scheduled tomorrow and any assistance/comments would be greatly appreciated!