Incident-to coding for your non-physician practitioners (NPPs) services in conjunction with a supervising physician continues to generate confusion- and 2018 will be no exception. So, it's no surprise that these claims generate higher than average denials, and lead to hefty penalties for physician practices ranging from $163K to $1.5 million - but they don't have to.
Obviously, being paid 100% vs. 85% for your NPPs services is the goal. However, correctly maneuvering through complex incident-to guidelines so you can avoid audits and fines is anything but easy. That's where expert coder, Rhonda Granja, B.S., CMC, CMOM, CMA, CPC, comes in. Rhonda has put together a 60-minute training session to help you cut through the confusion of these difficult coding situations.
Even if you don't see Medicare patients, you should still take note. Private carriers usually end up following suit with CMS at some point.