Incident-To Billing: Why Most Practices Get It Wrong

“Incident to” billing is often misunderstood in medical practices. While it can allow services provided by non-physician practitioners to be billed under a physician’s NPI at 100% of the Medicare Physician Fee Schedule, it comes with strict requirements.

Many practices unintentionally fall out of compliance because they assume “incident to” simply means a physician is available or in the office. Unfortunately, that as

This assumption is incorrect.