AAPC - Back to school
Results 1 to 3 of 3

Thread: Incident to Rules

  1. #1

    Default Incident to Rules

    AAPC: Back to School
    I think we are pretty clear on who to bill under incident to rules what I need help clarifying is if it is a MA service (injection etc) we bill under the supervising Dr. Is anyone responsible for signing off the note? Would it be the supervising Dr. or the patient's responsible Dr.?

    Same question for a NP? How does the Dr show involvement and continuity of care with the NP...by signing the note or by having monthly meetings??

  2. #2
    Join Date
    Apr 2007


    Doctor needs to sign off on the clinical notes.

  3. #3
    Join Date
    Apr 2007
    Jacksonville, FL River City Chapter


    Since the "supervising physician" (the one in the office) is credited as the "rendering physician" on the claim, and the bill is submitted under his/her number, he needs to sign the note.

    The original physician who saw the patient and created the incident to situation is recorded on the claim as the "ordering physician." He is required to see the patient every so often (exact frequency not specified by CMS) to renew the incident to relationship (verify that the dx is still accurate and the current plan is sound or make changes as needed).

Similar Threads

  1. Incident to rules for secondary coverage
    By DEDGE CGIC in forum E/M
    Replies: 1
    Last Post: 03-29-2013, 08:37 AM
  2. Medicare Advantage Plans and Incident To Rules
    By kelam in forum Billing/Reimbursement
    Replies: 3
    Last Post: 10-30-2012, 06:50 PM
  3. Incident To Rules and the WWE
    By singlemisfit in forum OB/GYN
    Replies: 3
    Last Post: 10-24-2011, 06:02 PM
  4. incident to rules
    By toniboni in forum E/M
    Replies: 4
    Last Post: 07-27-2010, 10:38 AM
  5. Billing incident-to rules for Mental Health
    By spatch in forum Behavioral Health
    Replies: 1
    Last Post: 03-18-2010, 10:49 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.