Results 1 to 2 of 2

Medicare NPP billing "incident to"

  1. Default Medicare NPP billing "incident to"
    Medical Coding Books
    Medicare states that when NPP's meet certain requirements, they can bill "incident to" under the supervising physician and receive 100% of the physician fee schedule.

    If the NPP is not being supervised, they bill under their OWN NPI and receive 85% of the physician fee schedule.

    I am being told that it is fraud to bill any services provided by an NPP under a physician. Can canyone clarify?

  2. #2
    Here is a quick-read article from the AAPA:

    Additional CMS info on "incident to" billing:

Similar Threads

  1. NPP "Incident To" Billing
    By jessmtxstate in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 02-20-2015, 10:26 AM
  2. NPP "Incident To" Billing
    By jessmtxstate in forum Medicare Regulations
    Replies: 1
    Last Post: 02-16-2015, 04:00 PM

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.