Everything You Want to Know About "Incident to Billing”
MGMA has reported that many physician-owned multi-specialty practices and groups often use non-physician providers (NPPs). According to the report, the reason is that the NPPs with the practices often generate higher income than physicians and are financially more viable. NPPs, however, need to function directly under the supervision of a physician to provide billable medical services. Therefore, registered nurse aestheticians, surgeons, or physicians' assistants can be included in the facility under the NPPs. Further under the Medicare fee schedule, the NPPs' medical practices can receive full payment and reimburse the amount for the services successfully by reporting the NPSS services under 'incident-to' for physician care. But CMS has implemented strict and complex guidelines for incident-to billing. That’s why physicians must understand the rules of the medical billing procedures correctly to receive full payment from the insurers for the services rendered ...