Incident To Billing_ Unravelling The Complexity In Medical Practices
                     Incident To Billing: Unravelling The Complexity In Medical Practices
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Incident To Billing: Unravelling The Complexity In 
Medical Practices
Using non-physician practitioners (nurse practitioners, physician assistants, clinical nurse specialists, and so 
on) to boost productivity in a medical practice is an effective strategy to do so. However, covered services 
delivered by non-physician practitioners (NPPs) are reimbursed at a lower rate (85% of the fee schedule 
amount) under Medicare rules. The “incident-to” billing for services rules provide an exception, enabling 100 
percent reimbursement for non-physician treatments that meet the guidelines outlined in Chapter 15, Section 
60 of the Medicare Benefit Policy Manual.
The term “incident to” a physician’s professional services denotes that the services or supplies are provided as 
an integral, although incidental, element of the physician’s professional assistance during the diagnosis or 
treatment of an accident or sickness. However, the ability to use “incident to” charging is subject to several 
constraints and limits. Let’s have a look at such complexities:
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Complexities with Solutions
Incident-to-billing is one of the last remaining ways physicians can expand their services and improve 
their earnings without working harder. However, the regulations regulating this practice under the federal 
Medicare program and the various state Medicaid programs can create hazards to naïve physicians and their 
staffs who fail to comprehend and apply them properly. These errors may result in government intervention, 
audits, overpayment demands, and false claim allegations. That’s why there is a need to be aware of the 
various complexities involved with solutions to deal with it.
● Part of the Physician’s Services
● Direct Supervision
● State Licensing Requirement
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Are you Getting 100% Reimbursement?
Undoubtedly, physicians can benefit from incident-to-billing to increase revenue in their practice by billing the 
nurse visit under the physician’s supervision. But how can you know if you’re following incident-to-billing 
guidelines?  Furthermore, keeping up with changes in claim procedures, guidelines, and billing technologies 
can be difficult for healthcare practice, especially for larger hospitals with trained billing staff.
That’s where the 24/7 Medical Billing Services team comes in, with decades of proven knowledge in 
medical billing service and revenue management. Contact us today to learn more about how we can help you 
collect money and serve patients better.
https://www.247medicalbillingservices.com/
About us
We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical 
institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our 
quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to 
attract additional revenue and reduce administrative burden or losses.
Media Contact:
24/7 Medical Billing Services
28405 Osborn Road, Cleveland, OH 44140
Phone no / Fax :  +1 888-502-0537
         Email us: [email protected]
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