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Thread: incident to billing - Can a new patient be billed

  1. #1
    Join Date
    Apr 2007

    Default incident to billing - Can a new patient be billed

    AAPC: Back to School
    Can a new patient be billed as "incident to" if the physician only reviews and agrees with the treatment plan but is not involved in the History, Exam portion of the visit? How involved does the physician have to be to bill a new patient "incident to" ?
    Last edited by ank3t; 10-04-2016 at 06:42 AM.

  2. #2
    Join Date
    Apr 2007
    Evansville Indiana

    Default incident to

    For Medicare purposes and any payer who follows their "incident to" guidelines, a new patient can never be billed as incident to.


  3. #3

    Default Incident to for a new problem

    Can a new problem be treated under the incident 2 guidelines?

  4. #4
    Join Date
    Apr 2007
    Columbia, MO


    No a new patient can be billed by the physician using the physician's NPI or by the NPP using the NPP's NPI. A new patient can never be billed using incident -to guidelines.

    Debra A. Mitchell, MSPH, CPC-H

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