Incident-to services remain major audit targets for CMS due in large part because of the widespread misuse and abuse when reporting these services. Incident-to billing rules enable non-physician practitioners (NPPs) to report eligible services to Medicare as if those services were rendered by a physician and collect 100% of the Medicare Physician Fee Schedule (MPFS) instead of 85% if those same services were billed under an NPP. The 15% payment increase encourages physicians to leverage NPPs to expand bandwidth and boost productivity when clinically appropriate. Provider clinical documentation must outline various criteria for the encounter to qualify for incident-to billing. Many providers believe all services can qualify for incident-to billing, but there are many instances that do not qualify, which we will unpack in our webinar training. The rules become even more complicated in rural healthcare settings.

In this very informative and important webinar, we focus on rural health settings and define provider roles and responsibilities, discuss relevant provider types, review relevant supervision categories, discuss NPI submission rules, incident-to clinical documentation requirements, incident-to case studies, and incident-to compliance best practice tips.

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