I recall that when billing services as "incident to", "new" conditions had to first be seen/treated by the MD. I found the following info on Medicare's website regarding services eligible for "incident to" billing;
The service(s) must represent an expense to the physician or non-physician practitioner (NPP). The service(s) must be one(s) that is commonly furnished in physicians or NPPâ€™s offices or clinics. The service(s) must be commonly rendered without charge or included in the physicians or NPPâ€™s bill. The service must be rendered under the direct supervision of the physician or NPP and the physician or NPP must evaluate and initiate the plan of care (see CMS Internet Only Manual (IOM), Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 60.1).
I think that the wording "initiate" indicates that the MD must begin course of treatment for "new" conditions.
Hope this helps!
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join