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incident to billing - Can a new patient be billed

  1. #1
    Default incident to billing - Can a new patient be billed
    Medical Coding Books
    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" ?

  2. #2
    Location
    Evansville Indiana
    Posts
    451
    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.

    LeeAnn

  3. Default Incident to for a new problem
    Can a new problem be treated under the incident 2 guidelines?

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    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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