Maximizing productivity while maintaining high-quality care is one of the main crucial goals for providers. One way Medicare Part B allows physicians and certain Non-Physician Practitioners (NPPs) to enhance their efficiency is by billing for services provided by auxiliary personnel on an incident to basis. Let’s understand how you can navigate this valuable option for reimbursement.
Understanding Incident To Billing
At its core, incident to billing refers to services performed by auxiliary personnel under the supervision of a physician that are considered an integral part of the physician’s professional service. When these requirements are met, the services provided by auxiliary personnel—like nurse practitioners (NPs), physician assistants (PAs), and clinical social workers—can be billed under the physician’s National Provider Identifier (NPI), ensuring full reimbursement (100% of the Physician Fee Schedule rate). Otherwise, when NPPs bill independently, they are reimbursed at 85% of the Physician Fee Schedule rate.
Discover more from Doctor Trusted
Subscribe to get the latest posts sent to your email.
